Traveler Information Form

Please complete a Traveler Information Sheet for each separate reservation.

Example: If you are sharing a room and covering the cost for other travelers, please complete one Traveler Information Form and include the other travelers as guests.

Example: if you are sharing a room with other travelers, but paying separately, please submit separate traveler information sheets.

Number of travelers on this reservation*

Primary Traveler Information

NOTE: Please write the name as it appears on your passport (for international travel) or other government issued identification.

First name

Date of Birth

Gender

Phone*

Email*

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

PASSPORT NUMBER (passport information may be provided later)

PASSPORT EXPIRATION DATE

COUNTRY OF ISSUANCE

EMERGENCY CONTACT NAME

Phone

EMERGENCY CONTACT RELATIONSHIP

TSA PRECHECK #/GLOBAL ENTRY #

FREQUENT FLYER #

PLEASE LET US KNOW OF ANY SPECIAL PREFERENCES: (e.g., seat (window/aisle). cabin (oceanview/balcony). early/late departure. early/late return, preferred airport departure)

MAILING ADDRESS

EMERGENCY CONTACT INFORMATION

PASSPORT INFORMATION (if applicable)

ADDITIONAL INFORMATION

PHONE/TEXT: 972-827-6989

EMAIL: fidelitytravelgroup@gmail.com

Traveler Information Form