Direct Travel Booking Record
Complete & Submit Via Internet

Complete the following form for each confirmed reservation you make for a tour, cruise or air travel consolidator or web booking.  Instructions for completion of the form are in the Operating Manual.

Your Agency Name:

Your Phone Number:

Your Fax Number:

Travel Type:  Tour   Cruise ConsolidatorWeb Booking  Direct Hotel  Direct Car  Direct Air

Vendor Name

Suite Number
Street & PO Box Number
City, State, ZIP

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 Passenger Names
Lead Passenger
 Last Name/First Name
Other Passenger 
Last Name/First Name
Other Passenger 
Last Name/First Name
Other Passenger 
Last Name/First Name
Other Passenger 
Last Name/First Name
Other Passenger 
Last Name/First Name
Other Passenger 
Last Name/First Name

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Itinerary - If Cruise
Ship Name
Departure Date
Ship Departure City
Ship Return City
Confirmation

 

Itinerary - If Tour or Consolidator or Web Booking

Departure Date
Departure City
Destination
Confirmation or Locator No.

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Payment Information - Include Cents

Total Amount of Sale

Previous Payments

Amount Due Now
Amount Due Now must be paid by date

Balance Remaining to be Paid

Total Commission on Sale (enter dollar amount)

 

Form Of Payment
Credit Card Direct**

Agency Check*

 Agency Check No.
MCO - Check*
MCO - Credit Card**		 MCO No.
Tour Order - Check*
Tour Order - Credit Card**		 Tour Order No.

* If form of payment is by check, you must print copy of this form and remit cashier's check with this form to headquarters for the amount shown after Amount Due Now, above.

**If form of payment is by Credit Card, enter Information:
Type:Number
Expiration Date:


You must inform vendor of form of payment and amount. Click this box if you have done so.

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Associate - Agency Check Reconciliation - Include Cents
Your check amount (Amount Due Now)
Less Commission to be Withheld
Agency Check Amount

Comments or further instructions to headquarters:   
   

End of Direct Travel Booking Record Form

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