Passenger Information Form

*Note - These fields are mandatory

Left Column

TRIP INFORMATION

Cruise Line
Booking Number
Trip Start Date
List any dietary and/or medical restrictions
Are you celebrating a special date
(Birthday, Anniversary...)

PASSENGER INFORMATION

Names must be as they appear on your passport.
Any changes made to the names will result in change fees.

Gender
Salutation
First Name
Middle Name(s)
Last Name
Date of Birth
I wish to receive further communication from Exclusive Tours
Right Column

PASSPORT INFORMATION

Citizenship
Place of Birth
Passport Number
Place of Issue
Date of Issue
Date of Expiry

CONTACT INFORMATION

Street Address
Apartment or Suite Number
City
Province / State
Postal Code / Zip Code
Country
Phone Number (with area code)
Email

Terms & Conditions

It is the responsibility of the passenger named herein to obtain any required visa and documentation prior to departure, further that for the most part to have a valid passport for at least 6 months following the date of return from the trip. If required documents are not obtained passenger may be denied boarding at the airport and/or entry upon arrival. Regulations concerning visa requirements can change without notice at the discretion of the countries visited. Exclusive Tours accepts no responsibility for obtaining visas or for advising guests of visa or other immigration requirements. Passenger must also declare fitness to travel and to be self-sufficient. If travelling with a physical challenge guest must have an able-bodied travelling companion travelling with to take full responsibility of any assistance that may be required.

On behalf of the person named above, whose authority I have to accept these terms and conditions, I have read and accept the Terms and Conditions outlined on the guest confirmation or at www.exclusivetours.ca.

EMERGENCY CONTACT INFORMATION

Full Name
Phone Number (with area code)
Relationship to Traveler

TRAVEL INFORMATION

If you are booking cruise only, and are doing a pre-cruise on your own, please fill out below. This information is important in case there are any last minute changes.

Name of Hotel or Where Staying
City
Contact Number

ADDITIONAL TRAVEL INFORMATION

Additional information is required if you are purchasing your own air and are purchasing transfers from Exclusive Tours.