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Love + Leisure Boutique Travel Agency

DeAja & Ryan's Wedding

Feb 22, 2024 to Feb 27, 2024

Tulum, Mexico

Travel Services Form and Agreement

Date Field

Group/Event Name

Full name

First name*

Middle name

Last name*

Suffix

Birthdate*

Gender*

Male

Female

Other

Address

Line 1*

Line 2*

City*

State*

Zip*

Country*

Email*

Phone number*

Passport- If applicable, a valid passport is required when traveling outside of the United States. Your passport should be valid up to 6 months after travel. For more information on travel requirements, visit www.travel.state.gov.

If applicable, a valid passport is required for travel outside of the United States*?

Yes, I understand I need a valid passport

No, I do not understand

Not applicable, I am traveling in the U.S.

Travel Dates |Length of Stay

Arrival*?

Depart*?

Preferred Room Type*

Bed preference*

King

2 Double/Queen

Passenger 2- DOB/Gender/Full Name as on Govt ID or Passport

Passenger 3- DOB/Gender/Full Name as on Govt ID or Passport

Travel insurance- I assume and understand that there is a risk involved with my travel and my travel activities and/or excursions. I acknowledge that I was informed about my options and that travel insurance is STRONGLY recommended.

Travel Insurance *?

Yes, I would like to purchase supplier travel insurance

No, I decline supplier travel insurance and understand the risks

Airport Transfers?

Yes, I would like to purchase roundtrip transfers

No, I will arrange my own transportation

Loyalty Programs

ex: Hilton (Honors)

Delete loyalty program

Add loyalty program

I understand the cancellation terms and agree to pay all penalties and/or final payments when applicable.*

Do you agree to these terms & conditions?*

Yes, I agree to these terms & conditions

Card description*

XXXX ending in XXXX expires XX/XX

By signing below, I authorize Love + Leisure Boutique Travel Agency to charge the credit card provided herein.

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