Please use this form every time you make a booking or make any change to an existing booking. This form must be submitted the day you make the deposit with the supplier.
Agent Name *Arlette Strauss
New Booking? *YesUpdateCancellation
Booking Date *
Original Booking Date (if this is an update)
Client Name *
Passenger Name (if different)
Supplier/Vendor *
Confirmation Number
Travel Date: Start *
Travel Date: End *
Total Amount
Commission (if provided on the confirmation)
Deposit Date
Deposit Amount
Final Payment Due Date
Balance Due
Daily Rate (hotel)
Number of Nights (hotel)
Booking Method (GDS/Phone/Online)Select One OptionGDSPhoneOnline
Form of Payment (credit card number, no exp date, no security code))
PWP: Y/NNoYes
FHR: Y/NNoYes
Altour: Y/NNoYes
Gold Card Call *NoYes
Destination
Additional Comments
