TRAVEL INFORMATION REQUEST
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Tell us what you are interested in, and we will be pleased to process your request and contact you promptly. 
Please contact me via email telephone contact
* Email address * Contact Tel. No.  
Last name     Mr     Mrs      Ms
* First name   
Address 
City    Province/State  
Country    Postal code/Zip  

TRAVELLER INFORMATION
Adults #    Children 2-12#  Seniors 65+ #  Infants # 

PREFERRED DEPARTURE DATE
Day     Month     Year    Departure City   

PREFERRED RETURN DATE
Day     Month     Year    Return City   
 
My Passport is Canadian      United States      Other     
Please be advised ALL passengers should travel with a VALID passport, and many countries require 
the validity date to extend six months beyond your intended date of return.

 

Airline ticket Yes      No  Preferred Airline  
Cruise Yes      No Preferred Cruise Line  
     Cruise Destination  
Tour Yes      No Preferred Tour Operator  

SPECIFIC REMARKS:   
Tour Destination  


*
means mandatory field


MICHAEL HOLLAND TRAVEL LTD

1125 Bloor St. E., Mississauga, Ontario Canada, L4Y 2N6 Tel.: (905) 272-0500 Fax: (905) 272-0283
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