*
Required Fields
Travel Agent Information
*
Agent's Name
:
*
Agency Name
:
*
Mailing Address
:
*
City
:
*
State
:
*
Zip Code
:
*
Phone
:
*
Email
:
Industry I.D. #
:
Client / Tour Information
SEX:
*
Traveler's Names
:
1.
*
Male
Female
(as they appear in their passports)
2.
Male
Female
3.
Male
Female
4.
Male
Female
5.
Male
Female
6.
Male
Female
7.
Male
Female
8.
Male
Female
(If a traveler is under age 12, then please insert their age next to their name (
i.e.
John Smith, 10).
*
Traveler's Telephone
:
(needed for the airlines)
*
Select Arrival Date
:
*
Number of Rooms
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
*
# of People in each Room
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
*
Smoking/Non-smoking
:
Non-smoking
Smoking
*
Room Type
:
Select Room Type
One Bed
Twin Beds
*
Include International Air?
No
Yes
Copyright © 2009 McKendree Group Inc.
