VIP Tours Guest Services Form

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GUARANTEED DEPARTURES ON ALL ESCORTED TOURS GROUP & INDEPENDENT FIT’s

For Reservations Contact Your Travel Agent

Or Call: 877-782-9878

VIP Tours Guest Services Form

Please note passengers will be denied boarding if form is not completed and received 70 days prior to departure with Final Payment.

* Required Fields

Today's Date:

7/28/2009

DOB*:

Booking Number:

Voyage Date*:

Last Name*:

First Name*:

Street Address*:

City*:

State/Province:

Zip Code*:

Email Address:

Phone number*:

Emergency Contact Name*:

Emergency Contact Phone Number*:

Relationship of the Emergency Contact*:

Secondary Emergency Contact Name*:

Secondary Emergency Phone Number*:

Sex*:

Male Female

Dietary Info/Allergies:

Passport Issue Date*:

Passport valid until*:

Passport Number*:

Nationality*:

Transfers are not included if passengers deviate or arrange flights independently.

Cruise only:

Yes No

Arrival City:

Departure City:

Arrival Date:

Departure Date:

Arrival Time:

Departure Time:

Arrival Flight:

Departure Flight:

Arrival Hotel Name:

Hotel Phone Number:

Date(s) of hotel stay:

Do you need extra nights?

Yes No

If so what dates:

Would you like to receive information about new products and specials from VIP Tours?

Yes No

VIP Tours - 1-877-782-9878

reservations@viptours.travel - www.viptours.travel

VIP Tours Cruise Booking Information & Terms and Conditions of Contract