Booking - Dynasty Tours & Travels

Personal Information

Name*

Prefix

First

Middle

Last

Address*

City*

Country*

Postcode*

Phone (H)

Phone (W)

Mobile

Email address*

Passport & Frequent Flyer Information

Name Shown on Passport*

Passport No*

Issue Date*

Expiry Date*

Date of Birth*

Nationality*

Confirm Information

I hereby confirm that all the above information is correct and true and I am happy for Dynasty Tours & Travels to access this information when organizing travel for me.

Signature*

Print Name*

Date*

Tour Booking Details

(Please complete one form per person & return with a copy of the photo page of your passport)

Name of tour*

Date of departure*

Please advise your first preference Cabin/Room type*

In the even that your first preference is unavailable please state your second preference*

Double or Twin Preference*

I will be sharing with

I‘m a solo traveller and want to share with someone of the same gender

Yes

Do you have any dietary requests?

Do you have any Allergies/Medical conditions?

Do you have experience in swimming/snorkelling or diving (if applicable) please detail

What is your fitness level (if applicable)

Would you like us to arrange your additional travel

Yes

Travel Insurance

It is essential that you are covered by travel insurance for health, repatriation, loss of luggage/belongings and in case of cancellation. Would you like us to help you out on the same?

Yes

If you are a traveller with a pre-existing medical condition/s, you will need to speak to the insurance company and will need to complete a Medical Appraisal.

If you have Insurance cover with your credit card, please check the conditions carefully and bring a copy of the policy, emergency number & policy number with you.

Insurance details must be provided prior to finalisation of your arrangements.

Emergency Contact

(i.e: the person to contact in the event of an emergency while you are away)

Complete Name*

Relationship*

Mobile Phone*

Home Phone*

Email address*

Please type the characters*

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