EmailMeForm
Alexandra & Trent Reservation Form
Simply Travel
1400 160th St W
Shakopee, MN 55379
(952) 224-3393
www.simplytravelmn.com
We appreciate your business. We will need the following information to reserve your room for the wedding and authorization to make your travel arrangements.
Please enter traveler's names exactly as they appear on your passport, including middle name or initial if applicable. If anyone has a frequent flyer number for the airline, a global traveler number, or a TSA pre-check number, please provide in the spaces below. If there are additional passengers, please provide information in comment section below.
Thank you!
Contact:
First
Last
Phone
*
###
-
###
-
####
Email
*
email@email.com
Traveler 1
*
First
Middle
Last
Date of Birth
MM
/
DD
/
YYYY
Airline Loyalty #
TSA pre-check #
Passport?
Yes
No
Traveler 2
First
Middle
Last
Date of Birth
MM
/
DD
/
YYYY
Airline Loyalty #
TSA pre-check #
Passport?
Yes
No
Traveler 3
First
Middle
Last
Date of Birth
MM
/
DD
/
YYYY
Airline Loyalty #
TSA pre-check #
Passport?
Yes
No
Room Type
Jr Suite Tropical View
Jr Suite Ocean View
Jr Suite Oceanfront
Preferred Club Suite Ocean View
# of Nights
4 Nights (1/27-31/22) Thursday - Monday
7 Nights (1/27-2/3/22) Thursday - Thursday
Alternate - specify in comments below
Trip Insurance Notification: Trip insurance is strongly recommended to protect clients from certain situations that could cause this trip to be cancelled, interrupted, and/or delayed resulting in a loss of time and money. Please choose one:
*
I choose not to protect my investment with trip insurance. I understand that the Simply Travel will be held free of any claims made as part of this transaction.
I accept trip insurance @ $65 per person provided by Allianz Insurance. Questions should be directed to Insurance provider 1-800-496-6590. Details https://www.allianzworldwidepartners.com/usa/terms-and-conditions/TravelProtectionPlan.pdf
Cardholder's Name
First
Last
Name as it appears on card
Credit Card
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
Protected in vault
Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Billing Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
I am the owner of this credit card and I agree to pay the amount due. I agree not to dispute this charge with my credit card company. Please initial below
*
Additional comments
Signature (sign with mouse, stylus, or finger)
*
Clear
Today's Date
*
MM
/
DD
/
YYYY
