EmailMe Form - Valerie - Reservation Request Form

Reservation Request Form

Wedding Couple Name
(if applicable): *

Room Category Preference: *

Guest E-mail: *

Guest Phone Number: *

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

Departure Date: *

MM / DD / YYYY

Return Date: *

MM / DD / YYYY

Passenger Name: *

First Middle Last

Date of Birth: *

MM / DD / YYYY

Gender: *

Passenger Name 2:

First Middle Last

Date of Birth:

MM / DD / YYYY

Gender:

Passenger Name 3:

First Middle Last

Date of Birth:

MM / DD / YYYY

Gender:

List any additional passenger information in the Special Requests area below:

Special Requests /
Room Requests:

Passport Terms and Conditions:
We have given Travel World our names as they appear on the passport(s). Travel World is not responsible for any denied boarding situations, if the name is incorrect or the passport is expired.
Passenger(s) will confirm that passports are valid for at least 6 months after travel is completed.

Cardholder Name: *

First Middle Last

Credit Card Type: *

Credit Card Number: *

Expiration Date: *

MM / YY

CCV (Security Code): *

For The Amount Of: *

$ Dollars . Cents

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Trip Cancellation Terms:

Cancellation penalties could be up to 100% of the cost of your vacation. If I do not purchase travel insurance, I am responsible for any cancellation penalties.

Travel Insurance

Please Choose One Option: *

I understand that if I am DECLINING Travel Protection Insurance, I acknowledge and understand that I may not be entitled to a refund should my travel plans change and that I should be aware of current travel alerts by visiting http://travel.state.gov and/or http://wwwnc.cdc.gov/Travel

Please use your mouse to sign below.

Signature *

Clear

Reservation Request Form

List any additional passenger information in the Special Requests area below:

Trip Cancellation Terms: Cancellation penalties could be up to 100% of the cost of your vacation. If I do not purchase travel insurance, I am responsible for any cancellation penalties.

Travel Insurance

I understand that if I am DECLINING Travel Protection Insurance, I acknowledge and understand that I may not be entitled to a refund should my travel plans change and that I should be aware of current travel alerts by visiting http://travel.state.gov and/or http://wwwnc.cdc.gov/Travel

Please use your mouse to sign below.

Trip Cancellation Terms:

Cancellation penalties could be up to 100% of the cost of your vacation. If I do not purchase travel insurance, I am responsible for any cancellation penalties.