Booking Form
I hereby authorize Travel Professionals International (TPI) to charge my credit card as per the agreed upon amounts.
Name:______________________________________________
Birthdate: ________________________________________
Passport Number:___________________________________
Expiry date:__________________
Gender:____________________________________________
Mailing Address:___________________________________
Postal Code:__________________________
Email Address:_____________________________________
Phone No.: ________________________________________
Credit Card Type: _________________________________
Credit Card No.:___________________________________
Exp. Date: ________________________________________
Security Code: _____________
Cardholder Name:___________________________________
Signature of Cardholder:___________________________
Date: ______________________
All clients must provide photocopies of photo Identification (either a photocopy of a passport or valid driver’s license showing signature matching the credit card used).
No transactions will be performed until all documentation and permissions are received.
Additional Passengers – Please note all names are required to match your passports:
Full Name:________________________________________
Gender M or F:_____
Date of Birth(DD-MMM-YY ie: 09-APR-77):___________
Passport Number:_________________
Expiry date:_____________________
Full Name:________________________________________
Gender M or F:_____
Date of Birth(DD-MMM-YY ie: 09-APR-77):___________
Passport Number:__________________
Expiry date:______________________
Full Name:________________________________________
Gender M or F:_____
Date of Birth(DD-MMM-YY ie: 09-APR-77):___________
Passport Number:___________________
Expiry date:_______________________
Full Name:________________________________________
Gender M or F:_____
Date of Birth(DD-MMM-YY ie: 09-APR-77):___________
Passport Number:___________________
Expiry date:_______________________
Please copy and paste above booking form onto a Microsoft Word Document. Once completed please forward to me.
