EmailMeForm
Passenger information & Client Agreement
The following information is needed for each traveler participating in your trip. Please double-check all information before hitting submit. Any errors will result in additional fees.
Do you have a United States passport?
*
Yes
No
N/A (domestic trip)
Is your nationality USA (on passport)?
Yes
No
N/A (domestic trip)
Name as it appears on your passport or government ID
*
First
Middle
Last
Suffix
(Name must exactly match passport for international trips/must exactly match government ID for domestic trips).
Gender
*
Male
Female
Date of birth
*
MM
/
DD
/
YYYY
In which state do you currently live?
Email
Passport Number
Passport expiration date
MM
/
DD
/
YYYY
Please upload a copy/photo of your passport.
Airline Rewards Number (optional)
Rapid Rewards, SkyMiles, etc.
Known Traveler Number (optional)
TSA, Global Entry, etc.
Geaux Journey Travel Group Client Agreement
When you retain Geaux Journey Travel Group, LLC to help plan your travel, you're hiring a professional travel advisor to ensure that your trip is tailored to your taste, preferences, and budget. You get the benefit of our skill, experience and training, our professional relationships, and our industry connections. Our Professional Services Fee covers your consultation, our research and recommendations, preparation of quotes and itineraries, reserving and booking each element of your trip, securing quotes for comprehensive travel insurance, administration of your booking from deposit to departure, and follow-up post-trip with suppliers (as needed).
By checking the box below and submitting this form, you acknowledge that you are hiring us to plan your trip and that you have read and agree to our Terms and Conditions of booking, which are located at: www.geauxjourney.com/terms-conditions.
*
I agree
Travel Insurance Acknowledgement
Emergencies can happen when you least expect them. Geaux Journey Travel Group, LLC highly recommends that all clients purchase a travel insurance policy to protect their investment in their travel. Cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. And, keep in mind that most health insurance policies will not cover you when you are out of the country. Travel insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage Loss, Theft or Damage, Baggage Delay, Emergency Medical and Dental Expenses, and Emergency Medical Transportation, among other unforeseen circumstances.
Please also note that in order for you to obtain coverage for certain pre-existing conditions, or for supplier default, your policy must be purchased at the time of booking or shortly thereafter (depending on the terms of the policy).
Please understand that we are not registered insurance agents, and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you, upon request, and if Geaux Journey Travel Group, LLC does not, or is not legally able to secure coverage on your behalf, it is our strong recommendation that you purchase a policy on your own.
I acknowledge that Geaux Journey Travel Group, LLC has recommended or offered travel insurance protection to me. Should I choose not to purchase such a policy, I accept all responsibility for declining to secure coverage.
*
I agree
Notes or Special Requests
Dietary restrictions, wheelchair assistance, etc.
Signature
*
Clear
