Happy Gay Travel - Diva Holidays Reservation

PASSENGER INFORMATION

FIRST PASSENGER INFORMATION

Gender *

Name *

Middle name

Surname *

Home Address *

House no./Name *

Postal / ZIP Code *

City *

State

Country *

Citizenship *

Phone *

Mobile

Fax

E-mail *

Date of Birth *

Smoker? *

Yes

T-Shirt size: *

SECOND PASSENGER INFORMATION

Gender

Name

Middle name

Surname

Home Address

House no./Name

Postal / ZIP Code

City

State

Country

Citizenship

Phone

Mobile

Fax

E-mail

Date of Birth

Smoker?

Yes

T-Shirt size:

TOUR INFORMATION

I wish to attend the *

Room Type *

Room price per person is *

What bedding configuration would you like?

per person

ACCOMMODATION:

I will be traveling with a friend/partner and will share with him/her

I would like single accommodations. A single supplement charge will apply.

I am traveling as a single but would like to share a room if possible.

ADDITIONAL INFORMATION

Please tell us if we should know anything about you including dietary needs, etc.

TRAVEL INSURANCE *

Travel insurance is HIGHLY recommended and can be arranged by Happy Gay Travel through our partners. Travel insurance is based on your age and the cost and type of the trip. By clicking ‘Yes' to the following, we will contact you with information about travel insurance. *

Yes, please contact me with information regarding travel insurance

No, I will not be requiring travel insurance.

PAYMENT INFORMATION *

I am paying by credit card. (3% Payment card charges may apply, E-mail will be sent with confirmation.)

I am paying by bank transfer. (No additional charges will apply, E-mail will be sent with confirmation.)

PASSENGER CREDIT CARD 1

Credit Card Number: *

Expiration Date: *

CVC Number: *

Card type: *

I am authorizing Happy Travel Ltd and the tour operator to automatically charge deposits, service fee's, payments, insurance (if applicable), flight payments (if applicable) and cancellation fees to my credit card in accordance with the payment schedule and cancellation policy.

Card Holders Name: *

Date: *

PASSENGER CREDIT CARD 2

Credit Card Number:

Expiration Date:

CVC Number:

Card type:

Card Holders Name:

Date:

DEPOSITS AND FINAL PAYMENT SCHEDULE PER PERSON

Deposit is required to reserve a space for you. Check your Invoice for final payment date. If we do not receive final payment by final payment date we reserve the right to cancel the reservation.

AIRLINE FLIGHT RESERVATIONS*

Arrange my flights *

No, I will arrange my own flights. (If checked, ignore rest of Airline Flight Reservations section)

Yes please send me a quote for airfare: (Leave blank if not applicable)

Economy Class

Business Class

First Class

Departure Date:

Departure Time:

Return Date:

Return Time:

* Please note that Happy Gay Travel and the tour operator assume no responsibility for passengers arranging their own flights. *

OTHER SERVICES AND RESERVATIONS

Please tell us if you need hotel reservations, car rental, transfer, etc.

TERMS AND CONDITIONS*

I agree to Happy Gay Travel Terms & Conditions.

SIGNATURE / AUTHORIZATION*

I verify that I am at least 18 years of age. I have read the above terms and conditions and acknowledge I have been offered travel insurance.

Passenger 1 *

Date *

Passenger 2

Date

EXTRA INFORMATION*

Where did you hear about us? *

Comments Box

NOTE: Your reservation isn't confirmed until we have provided you with a booking number by phone, e-mail, or fax.

* = Input is required