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CLIENT RESERVATION FORM

Fields marked with (*) are mandatory. Please fill them.

AGENCY CONTACT INFORMATION
*Email Address
*Agency Name
*Your Name
*Street Address
*City
*State/Province
*ZipCode
*Phone
*Fax
*IATAN/CLIA/TRUE
 
PASSENGERS NAMES
Please provide each passenger name as it appears on the passport.
*Passenger 1 Passenger 2
Passenger 3 Passenger 4
Passenger 5 Passenger 6
Passenger 7 Passenger 8
Passenger 9 Passenger 10
 
PACKAGE DETAILS
Package Name*
*Category (if applicable)
*No. of Rooms Double(s) Single(s) Triple(s)
 
TRAVEL DATES
*Departure From *Date
*Return To *Date
 
Additional Services Required
 
PAYMENT INFORMATION
*Payment Type Deposit Amount
*Date Expiration Date
*Cardholder Name
*Billing Address
By submitting the above reservation, I and my client(s) hereby acknowledge that we are familiar with the Tour Features and Conditions of the travel arrangements being purchased. We understand that reservations require a non-refundable deposit of $250.00 per person at this time.
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