Passenger Information Form

File/Invoice Number*

Located at the top of your invoice
Departure Date*
DD slash MM slash YYYY
Travelling With*
Personal Information
Please complete this form once for each person travelling. NOTE: Airlines require passengers names as shown on their passports. These details are used on your tickets and corrections may incur charges.
Title*
Surname*
Forename(s)*
Email Address*
Mobile Number*
Nationality*
Date of Birth*
DD slash MM slash YYYY
Place of Birth*
Passport Number*
Where Issued*
Date of Issue*
MM slash DD slash YYYY
Expiry Date*
MM slash DD slash YYYY
Next of Kin*

(Not travelling with you)
Next of Kin Phone Number*
Relationship to you*
Travel Insurance (Insurance is Compulsory for cruises)*
- I would like to purchase insurance from Travel Escapes
- I have my own insurance policy (give details below)
Insurance Company (if own insurance)*
Policy Number*
Insurance Emergency Contact Number*
Dietary Requirements
Special Requests

Dining, room layout, special occasions etc
55 Club
- I would like to join the 55 Club
If you are not already a member and have reached your 55th birthday, why not join the 55Club? It's free, it's easy and the above details are all we need.
Email*

Personal Information