EmailMe Form - Derek & Alexander Celebration Booking

Name as it appears on your Passport *

First Middle Last

If you do not have your passport, please list your name as it appears on your Drivers' License.

Date of Birth *

MM / DD / YYYY

Gender *

Email *

Phone *

### - ### - ####

Citizenship Country *

i.e. United States

Passport *

I have my passport booklet and it is valid through the trip date! (Please submit name above as it is listed on your passport)

I have my passport booklet but it expires before the trip date. I know I need to renew it before I travel.

I do not have a passport booklet but know I need to apply for it as soon as possible and need it to travel.

I plan to fly to Cancun from: *

Flight Options *

Yes, please assist me in obtaining my airline ticket(s)

I will obtain my airline ticket(s) on my own.

Preferred Check In Date *

MM / DD / YYYY

Preferred Check Out Date *

MM / DD / YYYY

Preferred Resort *

Grand Palladium Costa Mujeres

TRS Coral - Adults Only

Preferred Grand Palladium Room Category *

Junior Suite Garden Lagoon View

Junior Suite Poolside

Other

Preferred TRS Coral Room Category *

Junior Suite Garden View

Junior Suite Ocean View

Loft Suite Jacuzzi Terrace

Other

Please list other room category request

Number of travelers in your room *

1

2

3

4

Additional Passenger Information

Name of Traveler #2 as it appears on their passport

First Middle Last

Traveler #2 Date of Birth

MM / DD / YYYY

Gender

Name of Traveler #3 as it appears on their passport

First Middle Last

Traveler #3 Date of Birth

MM / DD / YYYY

Gender

Name of Traveler #4 as it appears on their passport

First Middle Last

Traveler #4 Date of Birth

MM / DD / YYYY

Gender

Travel Protection Option *

Apple Vacations Travel Protection Plus - Cash Refund

Apple Vacations Travel Protection Plus - Full Travel Credit

Do not include Travel Protection and/or I will secure travel protection on my own

Transportation Option *

Shared Transportation Included in the Room Rate

Private Nonstop Transporation

Private Deluxe Nonstop Transporation