EmailMe Form - CLAREMONT NYC 2019 BOOKING INFORMATION

CLAREMONT NYC 2019 BOOKING INFORMATION

TRAVELOOZA! With Jana Huse (888) 689-0660
Jana@Travelooza.com
________________________________________

I would like to make your vacation hassle free and finalizing accurate paperwork is an essential step. In an effort to ensure proper travel documentation requirements are met and security issues are avoided; please complete the following form fully and accurately. All submitted information is secure, properly protected, and used exclusively for your upcoming reservation. It comes only to me, Jana Huse, via email and then I will input to confirm the reservation.

Person making the reservation: *
First Last
Best Contact Phone while traveling: *
### - ### - ####
Email *
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
FLIGHT INFORMATION
We have reserved seats on a nonstop United Airlines flight from Denver to LaGuardia. These are economy seats -- upgrades may be available for additional cost
Flight Preference *
We will go on United nonstop group flight
We will do United flight but want pricing for Economy Plus
We prefer United, but first class
We will book our own air
HOTEL CHOICES
ROOM CATEGORY: *
King studio with king bed, kitchenette and private marble bathroom
Double rooms have two double beds, marble bathroom and kitchenette
Comments/Questions/Other
INFORMATION ON TRAVELERS
Please provide all information needed for booking flight and hotel reservations. Accuracy is key so enter carefully and double check! For international travel, please include passport information if available.... if you still need to apply for passport information, please leave that part blank and forward the numbers and exp date when you receive our passports.
TRAVELER #1-- Name exact as on passport or photo ID *
Prefix First Middle Last Suffix
Birth date *
MM / DD / YYYY
United Flyer #
TRAVELER #2-- Name exact as on passport or photo ID
Prefix First Middle Last Suffix
Birth date
MM / DD / YYYY
United Flyer #
TRAVEL INSURANCE
I believe that your upcoming trip is a significant investment which you should protect. For this reason, I strongly recommend you purchase Travel Insurance. If you choose to decline this valuable protection, you are assuming any financial loss associated with your travel arrangements.
Our choice for travel insurance -- *
Yes, I would like costs for Travel Insurance.
No, I decline to purchase and acknowledge that I have been offered coverage and I choose to not accept it.
EMERGENCY CONTACT INFORMATION
Please provide a contact to be used for airlines and such when traveling.
Emergency Contact while traveling
First Last
Phone
### - ### - ####
Email
Deposits for packages with be $500 due by March 31, 2019. Payment information sent with your confirmation.
CONTACT INFORMATION
For any questions on the form and details, please call Jana Huse @ Travelooza -- 785-259-8696 or email jana@travelooza.com!

FLIGHT INFORMATION

HOTEL CHOICES

INFORMATION ON TRAVELERS

TRAVEL INSURANCE

EMERGENCY CONTACT INFORMATION

Deposits for packages with be $500 due by March 31, 2019. Payment information sent with your confirmation.

CONTACT INFORMATION