Booking Request Form

BOOKING REQUEST FORM

To make a reservation, please complete the form below and submit.

Contact Information:

Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
E-mail Address:
Web Address:

Air & Land:	Land Only:
Tour Request:

Name of Tour:
Tour Code:
Hotel Categories:
Departure Date:
Number of Travelers:
Hometown / Gateway City:
Need Visa?	Yes No

Flight Request:
From City :	To City :	Date :
From City :	To City :	Date :
From City :	To City :	Date :
From City :	To City :	Date :

Hotel Request:
City:
Hotel Name:
Check in Date:
Check out Date:
Number of Nights:
Room Categories:

Passenger Information:
Passenger #	First Name:	Last Name:	Title:	Age: (12 yrs or under)
1
2
3
4
5
6

Other Needs /Comments /Questions:

Should we contact you by email or by phone? E-mail: Phone:

To hold your reservation, we require a deposit of $200 per person along with your completed booking request form.

PAYMENT OPTIONS:
1 - PayPal: Please submit your deposit from either your credit card or checking account. PayPal is a free service, and offers $100,000 insurance coverage through Travelers Insurance. For existing PayPal users, send to reservations@casablancatour.com
For new PayPal customers, click on logo:

2 - Credit Card:
Casablanca Tour will send you a credit card authorization form upon receipt of your reservation.