Form

JORDAN TRAVEL ENTERPRISE
Phone: (407) 924-2760
www.jordantravelenterprise.com
Vacation Reservation & Planning Form
Information and Sharing Disclosure
Jordan Travel Enterprise (JTE) operates under the highest principals of customer service for our clients. JTE will not share or sell your information with other people or non-affiliated companies. We have your permision, under the following circumstances: to send you certain communications relating to Jordan Travel Enterprise cruise and land vacation services or other travel deals.
Filling out this form is NOT a commitment to book a trip. Please fill out completely and if you would like a copy for you records, "print" before you submit.
Today's Date
Month Day Year
Full Name
Prefix First Name Middle Name Last Name Suffix

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail
Cell Number
- Area Code Phone Number
Home Number
- Area Code Phone Number
Emergency Contact Name
First Name Last Name
Emergency Contact
- Area Code Phone Number
Birth Date
Month Day Year
Please choose all that apply

Military Police/Fire Senior 55+
Vacation Type

Cruise Vacation All Inclusive Resort Land Vacation
Are you celebrating a Special Occasion?

Birthday Anniversary Reunion Honeymoon Promotion Retirement Recognition
Tell us about your vacation Destination
How Many Days
Departing Date
/ Month / Day Year
at
: Hour Minutes
Returning Date
/ Month / Day Year
at
: Hour Minutes
Budget Range $
Any Special Issues/ Circumstances

Medical Pregnancy Physical
Explain
Interested in Local Transportation to Port or Hotel

Yes No
For Cruise Vacation

Suite Ocean View Inside
Cruise Pre-Paid Gratuities

Yes No
Cruise Dining Time

Early Late Flexible
List legal name(s) as shown on Passport. Enter up to four (4) Guest. (Infants may be considered as full paying guest).
Full Name
Prefix First Name Middle Name Last Name Suffix
Birth Date
Month Day Year
E-mail
Cell Number
- Area Code Phone Number
Country
Nationality

US Citizen US Resident
Travel Insurance? Highly Recommended

Accepted Declined
Cruise Line Past Guest Number
Full Name
Prefix First Name Middle Name Last Name Suffix
Birth Date
Month Day Year
E-mail
Cell Number
- Area Code Phone Number
Nationality

US Citizen US Resident
Country
Travel Insurance? Highly Recommended

Accepted Declined
Cruise Line Past Guest Number
Full Name
Prefix First Name Middle Name Last Name Suffix
Birth Date
Month Day Year
E-mail
Cell Number
- Area Code Phone Number
Nationality

US Citizen US Resident
Country
Travel Insurance? Highly Recommended

Accepted Declined
Cruise Line Past Guest Number
Full Name
Prefix First Name Middle Name Last Name Suffix
Birth Date
Month Day Year
E-mail
Cell Number
- Area Code Phone Number
Nationality

US Citizen US Resident
Country
Travel Insurance? Highly Recommended

Accepted Declined
Cruise Line Past Guest Number
PLEASE do not submit any CREDIT CARD information or any FORM of PAYMENT information. Your Agent will get back to you with instructions to our secure payment site.
Agency Fees
Agency Service Charge $100.00 USD
Agency Intent to Travel Non Refundable Deposit $150.00 USD
Vacation Initial Deposit $250.00 USD

Total: $0.00 USD
Prices, dates and promotions are subject to change and may be unavailable when booked. We (JTE) will be able to confirm availability and make further recommendations.
Enter the message as it's shown*
Please indicate that you understand the above by placing you intials here:
JORDAN TRAVEL ENTERPRISE is registered with the State of Florida as a Seller of Travel. Registration No. ST37530."
Should be Empty:

JORDAN TRAVEL ENTERPRISE

Phone: (407) 924-2760

www.jordantravelenterprise.com

Vacation Reservation & Planning Form

Information and Sharing Disclosure

Filling out this form is NOT a commitment to book a trip. Please fill out completely and if you would like a copy for you records, "print" before you submit.

List legal name(s) as shown on Passport. Enter up to four (4) Guest. (Infants may be considered as full paying guest).

PLEASE do not submit any CREDIT CARD information or any FORM of PAYMENT information. Your Agent will get back to you with instructions to our secure payment site.

Prices, dates and promotions are subject to change and may be unavailable when booked. We (JTE) will be able to confirm availability and make further recommendations.

JORDAN TRAVEL ENTERPRISE is registered with the State of Florida as a Seller of Travel. Registration No. ST37530."