Client Request Form - Leisure Travel
 
Corporate customers click here
 
By completing this form, you are consenting Beacon Travel Services Limited to research the travel information below and provide your personal data to a third party for the sole purpose of obtaining a quotation.
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In order to avoid any delays at the airport, please ensure the spelling of all passenger names are identical to what appears in the passenger's passport.
 
 
*  indicates mandatory field.

Please tell us about your trip:
 
Flight   Rail   Cruise   All-inclusive Package  
 
 
 
Passenger 1.
 
Prefix
Mr. Mrs. Ms. Miss
First Name
 *
Middle Name

Last Name
 *
Date of Birth:
 Example: Jan-03-1975
 
 
Passenger 2.
 
Prefix
Mr. Mrs. Ms. Miss
First Name

Middle Name

Last Name

Date of Birth:
 Example: Jan-03-1975
 
 
Passenger 3.
 
Prefix
Mr. Mrs. Ms. Miss
Middle Name

Last Name

Date of Birth:
 Example: Jan-03-1975
 
 
Passenger 4.
 
Prefix
Mr. Mrs. Ms. Miss
First Name

Middle Name

Last Name

Date of Birth:
 Example: Jan-03-1975
 

* if there are more than 4 passengers, please provide details in the comments area at the bottom of this form. Please follow the same format inclding passenger's first name, last name, and date of birth.

Departure:     

 *

 
from:       city  *    country  *
 
to:           city  *    country  *
 

Return:         

 *

 

 
Preferred Airline:

Frequent Flyer Member Info:

 
Desired Class of Service:         Economy   Business    
 

 
Hotel accomodation required?  Yes        No    
if yes, please tell us if you have a preferred hotel: 
 

 
Car rental required?                Yes          No    
if yes, please tell us what type of car you require:   Not Required Subcompact Compact Mid-Size Full-Size Family Fan Other (please specify in comments)

 
Do you require Trip and Cancellation Insurance?   Yes          No    

 
Do you have special needs? No Wheelschair Access Vegetarian Meals Vision Impaired Other Needs (please specify in comments)
Please provide details in the comments area below.

 
Please provide us with your contact information:
 
Email:
 *
Phone:
 *
Street address (optional):

City:
 *
Postal code (optional):

Country:
 *

Enter comments here: