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Tour Dates *
Tour Dates
Passenger 1
Phone *
Phone
Mailing Address *
Mailing Address
Date of Birth *
Date of Birth
Accommodation Requirements *
Flight Upgrade *
Flight reservations are confirmed in “Economy Class” for this tour. Would you be interested to know more details regarding upgraded airline services, where available?
Celebrating a Special Occasion?
Please fax, scan, or mail a clear colour copy of the picture page of your passport to our office.
Emergency Contact Phone *
Emergency Contact Phone
Do You Require Travel Insurance? *
Any special requirements Select Holidays should be aware of?
Passenger 2
Email Address Same as Passenger 1?
Same Phone # as Passenger 1?
Phone (If Different)
Phone (If Different)
Mailing Address Same as Passenger 1?
Mailing Address (If Different)
Mailing Address (If Different)
Date of Birth
Date of Birth
Accommodation Requirements
Flight Upgrade
Flight reservations are confirmed in “Economy Class” for this tour. Would you be interested to know more details regarding upgraded airline services, where available?
Celebrating a Special Occasion?
Please fax, scan, or mail a clear colour copy of the picture page of your passport to our office.
Emergency Contact Phone Number
Emergency Contact Phone Number
Travel Insurance
Do you require travel insurance?
Any special requirements Select Holidays should be aware of?
Email Communications *
I/We wish to Receive Periodic Emails on Upcoming Tours & Relevant Information?
I/We have read and accept the booking terms and conditions for this tour and will not hold Select Holidays reponsible if the above information is incorrect and/or if change fees are incurred, will be at the traveler’s expense. I/We authorize Select Holidays to give the above information to the travel suppliers for immigration and document purposes.
Date *
Date