Tour Name
*
Tour Dates
*
Full Legal Name (as per passport)
*
Name Tag to Say (Known As)
*
Phone
*
(###)
###
####
Email
*
Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
MM
DD
YYYY
Departure City
*
Return City
*
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?
Occupation / Type of Farming / Past or Present
*
Celebrating a Special Occasion?
Type of Occasion
Passport Expiry
Passport Country of Issue
Emergency Contact Name
*
Relationship
*
Emergency Contact Phone
*
(###)
###
####
Frequent Flyer Program
Frequent Flyer Program Number
Do You Require Travel Insurance?
*
Select Holidays strongly advises the purchase of travel insurance to protect your travel investment!
Special Requirements
*
Any special requirements Select Holidays should be aware of?
Full Legal Name (as per passport)
Name Tag to Say (Known As)
Email Address Same as Passenger 1?
Email (If Different)
Same Phone # as Passenger 1?
Phone (If Different)
(###)
###
####
Mailing Address Same as Passenger 1?
Mailing Address (If Different)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
MM
DD
YYYY
Departure City
Return City
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?
Occupation / Type of Farming / Past or Present
Celebrating a Special Occasion?
Type of Occasion
Passport Expiry
Passport Country of Issue
Emergency Contact Name
Relationship
Emergency Contact Phone Number
(###)
###
####
Frequent Flyer Program
Frequent Flyer Program Number
Do You Require Travel Insurance?
Select Holidays strongly advises the purchase of travel insurance to protect your travel investment!
Special Requirements
Any special requirements Select Holidays should be aware of?
How Did You Hear About This Tour?
*
Email Communications
*
I/We wish to Receive Periodic Emails on Upcoming Tours & Relevant Information?
Terms & Conditions
*
Mobility & Health Acknowledgement:
Travelers are advised that certain aspects of the tour may involve walking, climbing stairs, or other physical activities. Individuals with mobility challenges or health concerns may find some portions of the itinerary unsuitable for their participation. To ensure a safe and enjoyable experience, it is recommended that travelers communicate any limitations to the guide in advance and assess their abilities to avoid injury or issues. In cases where participation is not possible, participants acknowledge that they may need to forgo these activities at their own discretion and risk. The remainder of the tour will continue as planned, and no reimbursements or discounts will be provided for missed portions of the tour due to personal limitations.
Required Vaccinations & Medications Acknowledgement:
Travelers understand that some destinations and countries may require specific vaccinations or health precautions. It is the traveler’s responsibility to research, obtain, and adhere to these requirements prior to departure. Select Holidays is not able to provide medical or vaccination advice, so we strongly recommend consulting with a travel clinic, healthcare provider, or pharmacist to receive up-to-date guidance and recommendations tailored to the destination.
I/We have read and accept the booking terms and conditions for this tour and will not hold Select Holidays responsible 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
*
MM
DD
YYYY
