EmailMe Form - Royalton Splash - Information form

Royalton Splash - Information form

If you are interested, please complete this form.
Make sure names are spelled correctly as is on Passport.

Primary Passenger Name *
Primary Passenger DOB *
MM / DD / YYYY
Gender
Male
Female
2nd Passenger
2nd Passenger DOB
MM / DD / YYYY
Gender
Male
Female
3rd/4th Person
Enter 3rd or 4th person in room if needed
3rd Passenger
3rd DOB
MM / DD / YYYY
Gender
Male
Female
4th Passenger
4th DOB
MM / DD / YYYY
Gender
Male
Female
Travel insurance *
Yes
No
I recommend the purchase of travel insurance. If you choose to decline this protection, you are assuming any financial loss associated with your travel arrangements. By declining to purchase travel insurance you fully understand that your travel agent is not liable or responsible for any expenses incurred as a result of cancellation or interruption, emergency medical and transportation, baggage and personal effects, flight and travel accident, and/ or rental car physical damage. (ADDITIONAL COST)
Email *
Add additional comments here:
Add comments here if you need hotel only, fly from different airport, or need upgraded rooms.

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