Client Information Form - Fill Me In - Beth Borrego & Rod Rodriguez and Associates

To help us serve you better when it comes time to book your special vacation, please complete the following form. Please use your formal name as it appears on your Passport or Real ID. The more you fill in, the better we can serve you right from the beginning. This will help us take better care of you, and allow us to provide you with excellent service from start to finish!

Beth Borrego & Rod Rodriguez

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Number of People

Person #1

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Street Address 1

Street Address 2

City

State

Zip

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #2

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #3

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #4

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #5

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #6

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #7

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #8

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #9

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

Person #10

First Name

Last Name

Email Address

Mobile Phone

I look forward to getting emails about fabulous vacations, trips, and offers!

Special Needs ?

Date of Birth

Gender

Citizenship Country

Military Affiliation - If you have one

Military Status - If you have one

Same address as primary

Middle Name - Only if you have one

Passport Place of Issue

Airport Gateway

Bed Preference - Together or Apart?

Passport Number

TSA / Known Traveler Number

Passport Issued

Passport Expiration

TSA / KTN Expiration

Suffix - If applicable.

Table Size - are you a social butterfly?

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