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Ashley & Dan 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.
A Passport is REQUIRED for travel to Mexico. Please enter traveler's names exactly as they appear on your passport, including full middle name. 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
Traveler 4
First
Middle
Last
Date of Birth
MM
/
DD
/
YYYY
Airline Loyalty #
TSA pre-check #
Passport?
Yes
No
Traveler 5
First
Middle
Last
Date of Birth
MM
/
DD
/
YYYY
TSA pre-check #
Airline Loyalty #
Passport?
Yes
No
Room Type
Hacienda - Deluxe Gold
Hacienda - Other (specify in comment section)
Heaven - Deluxe Gold
Heaven - Other (specify in comment section)
# of Nights
3 Nights
4 Nights
5 Nights
6 NIghts
7 Nights
Desired Dates of Travel
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 @ approximately 4% of total travel cost. Questions should be directed to IMG at 1-866-347-6673. Details https://www.reservhotel.com/html/airlink/InsuranceBrochure2018.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
