Booking Form (Adult) - Luxury Trips

This form should be completed individually by each adult traveler. We hope you will find this a simple process, but if you have any questions, please call us at +1 407.622.8747. Thank you!

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Account Type - field is hidden & not used, but necessary for CRM sync

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Travel Company*

Contact Details

Name*

First Last

Email*

This email should be unique to you.

What is your mailing address?*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Which is your primary phone?*

Cell Phone*

Home Phone*

Work Phone

Trip Details

Who is your Luxury Trips consultant?*

Have you booked your international flights?*

Yes
No

Please upload your e-ticket(s).*

Drop files here or

Max. file size: 256 MB.

Guest Details

Do you have a valid passport?*

Yes
No

Please be aware that your passport must NOT expire for at least 6 months AFTER you return home from your trip.

Name on Passport*

First Middle Last

Nationality*

Passport Number*

Date of Birth*

Date of Issue*

Date of Expiration*

Please upload a copy of your passport.*

Max. file size: 256 MB.

Please note that if your passport is not uploaded now, it will be required within 5 days of submitting this form.

Weight (lbs.)*

Please enter a number from 0 to 1000.

Height (ft.)*

Gender*

Male
Female

Do you smoke?*

No
Yes

Please indicate any dietary needs. If none, enter "n/a".*

Please indicate any medical conditions. If none, enter "n/a".*

Please indicate any mobility restrictions. If none, enter "n/a".*

What is your favorite drink?

Preferred Room Type (not guaranteed)

Preferred Airline Seat (not guaranteed)

Preferred Airline

Frequent Flier Number

Do you have a Global Entry or TSA Pre-Check number?

Yes
No

Global Entry Number

TSA Pre-Check Number

Emergency Contact

Name*

First Last

Relationship

What is their primary phone type?*

Cell Phone*

Home Phone*

Email*