EmailMeForm
Please fill out the form below with the information from your passport for everyone traveling.
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Client Information Form
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Credit Card Authorization Form
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Client Information Form
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Credit Card Authorization Form
sarah.franks@cruiseplanners.com / 972-395-4787 /www.WeHRTSTravel.com
Please Enter the information below for each person traveling.
It is very important that you double check the passenger information you enter and make sure that it is accurate. Please check www.travel.state.gov for more information on passport and visa requirements.
Traveler #1
Your Legal Name - Exactly as on passport
*
First
Middle
Last
Suffix
Your Date of Birth:
*
MM
/
DD
/
YYYY
Citizenship:
*
USA
Canada
Other
Country Issuing the Passport:
*
USA
Canada
Other
Passport Number
Passport Issue Date
MM
/
DD
/
YYYY
Passport Expiration Date
MM
/
DD
/
YYYY
For air Reservations: Known Traveler ID Number (Global Entry)
For air Reservations: Frequent Flyer Number
Traveler #2
Name of Passenger #2 Traveling With You -Exactly as on passport :
First
Middle
Last
Suffix
Passanger #2 -Date of Birth:
MM
/
DD
/
YYYY
Citizenship:
USA
Canada
Other
Country Issuing the Passport:
USA
Canada
Other
Passport Number
Passport Issue Date
MM
/
DD
/
YYYY
Passport Expiration Date
MM
/
DD
/
YYYY
For air Reservations: Known Traveler ID Number (Global Entry)
For air Reservations: Frequent Flyer Number
Please upload a copy of all passports if possible:
Your Preferred Phone Number
*
###
-
###
-
####
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Do any of you have an allergies or special needs?
*
Yes
No
If you answer yes, we can discuss what those are and what special arrangements can be made to help accommodate you on your trip.
Please list allergies or special needs:
Legal Notices
Please read the notices below. If you have any concerns about any of them, please let me know and we can discuss them.
ZIKA NOTICE
*
I am aware of the recent Zika out-break and understand the risks of traveling to effected areas.
For more information, please visit CDC.gov/travel/notices.
Women with Zika should wait at least 8 weeks and men with Zika should wait at least 6 months after symptoms began to try to get pregnant.
Women and men who traveled to this area should wait at least 8 weeks before trying to get pregnant.
Confirm that all passports are valid for at least six (6) months beyond our planned departure:
*
Yes, I have confirmed
No, What now?
If your passport is not valid for at least six months beyond the planned travel date, you may be required to renew prior to departure, depending on the countries you're visiting. We can discuss.
I understand that there may be entry restrictions in certain countries; please read the statement below:
*
Yes, I understand and have no concerns.
I am concerned, I will contact you to discuss.
With better technology, foreign governments are checking passenger manifests with more scrutiny and even denying valid Passports. To get a US Passport, you only need to prove you are a US Citizen with no *outstanding* warrants or certain types of convictions, including drug convictions, owed child support, DUI's, domestic violence, predatory behavior or ANY felony arrest history. HOWEVER>>> Many Foreign Governments will DENY ENTRY for these past federal, state or local criminal or offensive actions. It is every traveling passenger’s full responsibility to check and verify any and all passport, visa, vaccination or other entry requirements for their intended destination. If any of these issues apply, avoid entry detention, call for private discussion. More information can be found at www.travel.state.gov.
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