Traveler Verification Form – Perfect Landing Travel

Who Is Your Travel Advisor? *

Heather Keller
Rita Fuja
Lindy Schuch
Jamie Stippel

Please list if applicable who referred you to Perfect Landing Travel: *

Traveler Personal Information

Title *

Full Name *

First

Middle

Last

Date of Birth (month/day/year) *

Home Address *

Address Line 1

City

State

Zip Code

Email *

Your Cell *

Additional Travelers

Choose # of Additional Travelers *

Additional Traveler 1 - Full Name *

First

Middle

Last

Gender *

Additional Traveler 1 - Date of Birth (MM/DD/YY) *

Additional Traveler 2 - Full Name *

First

Middle

Last

Gender *

Additional Traveler 2 - Date of Birth (MM/DD/YY) *

Additional Traveler 3 - Full Name *

First

Middle

Last

Gender *

Additional Traveler 3 - Date of Birth (MM/DD/YY) *

Additional Traveler 4 - Full Name *

First

Middle

Last

Gender *

Additional Traveler 4 - Date of Birth (MM/DD/YY) *

Additional Traveler 5 - Full Name *

First

Middle

Last

Gender *

Additional Traveler 5 - Date of Birth (MM/DD/YY) *

Verification Information

Please carefully review and verify the information you are submitting for each traveler by checking the boxes below: *

Names are spelled correctly and are exactly the same as spelled on the VALID government-issued form of ID to be used at the airport. If you are traveling internationally names exactly match what is on your passport
Passport is valid for at least six months after you return home and has two (2) or more empty pages
Dates of birth are correct

* Passenger Only Details

Travel Insurance

Things happen and sometimes trips needs to be cancelled or rescheduled. Sometimes you get sick on a trip and need medical care. Someone back home gets sicks and you need to get home. Travel insurance helps protect you from losses you might incur. *

Yes, I would like travel insurance; please send me a quote
No, I decline travel insurance

* Please note: In some situations (like pre-existing medical conditions) you need to purchase your travel insurance within a certain amount of time after you place the deposit for your trip. The time varies based on the travel insurance vendor so please ask us for details. Additionally, in order to purchase a policy that includes a Cancel for Any Reason provision, the insurance needs to be purchased the same day the trip deposit is placed.

International Travel

U.S. citizens traveling outside the United States will need a valid U.S. passport... and there are a few other things want to remind you of and would be happy to talk with you more in-depth. Please review the additional information and check to confirm that you have been made of aware. *

Vaccinations: The country you're traveling to may require proof of vaccinations. Without proper vacinnations, you may be denied entry in the country. We recommend visiting CDC Traveler Health Information at the website link provided below to find information on health notices and recommended/required vaccinations for the countries you'll be visiting.
Visas: Some countries require visas to enter. Without a valid visa, you may be denied entry into the country. You can find out if you need a visa by visiting the embassy website of the country you'll be traveling to or by visiting the US State Department International Travel Information at the website link provided below. And of course, you can always contact us with questions!
Children Traveling with One Parent, or Someone Who is Not a Parent/Legal Guardian, or Children Traveling in a Group: Foreign border officials may require custody documents or written consent from the other parent/both parents. While the requirements may vary by country. Please visit the US Customs and Border Protection website at the link provided below for an example of what the US requires.

CDC Traveler Health Information | US State Department International Travel Information | US Customs and Border Protection

All we need now is your signature. By typing in your name you confirm that the information you provided us was accurate and that you have reviewed and agree to Perfect Landing Travel’s Terms and Conditions and Travel Waiver

Signature of Agreement to Terms *

Thank you again for booking with Perfect Landing Travel! We appreciate you checking off the loose ends to help us make sure your trip is as seamless as possible. As always, if you have any questions, please feel free to contact us and we are more than happy to help!