TRAVELER INFORMATION FORM

This form must be completed for each traveler. After submitting each form, click the blue "Add Traveler" button to complete additional forms for the rest of your travel party.

Contact Information

Please provide legal names exactly as they appear on your government-issued ID.

Prefix

First name*

Middle name

Last name*

Suffix

Preferred name (nickname)

Date of birth

Primary email address*

Primary phone number

Address

Line 1

City

State

Zip

Passport photo

Passport Info

Full name as it appears on passport

Passport number

Country of issue

Date of issue

Date of expiration

Gender

F

M

X

Loyalty Programs

ex: Hilton (Honors)

Delete loyalty program

Add loyalty program

Known Travelers Number(KTN):?

Vaccine card photo

Travel Preferences

Seat preference

Window

Aisle

Opposite Aisle

Bed preference

King

2 Double/Queen

What best describes your hotel preference?

Economy

Moderate

Luxury

Boutique

Dietary Preferences and/or Allergies(if applicable)

Text Area

Attestation

By submitting this form, I attest all information on this form is correct and that names/dates of birth match exactly as they appear on my government-issued ID and/or passport. I understand that Debz Travel At-Ease., LLC is not liable for errors on this form and that any such errors may result in additional fees for changes or result in denial of boarding.**

I Understand/I Agree

Type
Draw

×

By signing, I understand that this is a legally binding contract.