✈️ Traveler Data Verification Form

Before I can confirm your trip, I will need details for every traveler in your party. Please complete this form carefully — all names and dates of birth must match each person’s government-issued ID or passport exactly.

What you’ll provide for each traveler:

  • Full legal name
  • Date of birth
  • Phone number & email address
  • Home address
  • Emergency contact information

Why this matters:
Accurate details ensure tickets, hotel check-ins, and travel documents are issued correctly — avoiding costly changes or delays later.

This form only takes a few minutes, and once it’s complete, we’ll handle the rest so you can look forward to your trip.

Contact 1

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Loyalty Program 1

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Traveler Verification Statement

I confirm that I have carefully reviewed all traveler details provided for this reservation, including but not limited to:

  • Full legal names (exactly as they appear on government-issued identification or passports)
  • Dates of birth

By signing/acknowledging below, I verify that all information is accurate and complete. I understand that any errors or omissions may result in additional costs, denied boarding, or other travel disruptions, and that corrections after booking may incur fees.

Helping you with autosave!

Saving your responses as you go. Your advisor will be able to see your responses as you fill them out.

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Your Advisor

Heather Koors

Heather Koors - Traveluxe

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hkoors@traveluxe.com

812 - 614 - 1760