Capricorn Travel
Client Booking Form

Client Booking Form

Please complete a form for each passenger in your booking.

Capricorn Travel - Client Booking Form

Fields marked with an asterisk (*) are required

NOTE: do not fill in this field. It is used to prevent automated unsolicited submission.

General Information

Title: *

Full name as per passport: *

Phone number: *

Email: *

DOB: *

Postal Address: *

Passport Details

Please complete all details below and upload a scanned copy of your passport.

Passport number:

Country of issue:

Country of birth:

Expiry date:

Scanned copy of your passport:

Loyalty Programs

Frequent flyer number:

Cruise line number:

Other Information

Please note that seating and stateroom preferences cannot be guaranteed, may attract additional charges and are subject to change due to loyalty program status.

Flight seating preference:

Cruise stateroom preference:

I will be sharing a room with:

Tour or package name:

Optional upgrades or extras:

Special requests:

Dietary requirements:

Emergency Contact Details

Please list the details of your emergency contact. Please note that this should be someone you are not travelling with.

Name: *

Relationship: *

Emergency contact email: *

Emergency contact phone number: *

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NOTE: do not fill in this field. It is used to prevent automated unsolicited submission

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Client Booking Form

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