TRAVEL SERVICE REQUEST FORM
If you have any questions please call us at (215) 572-8200 or e-mail (generalmedia@netreach.net).

Please type names exactly as they appear on travel documents (passport, birth certificate, drivers license).

Passenger 01	Name:
Passenger 02	Name:
Passenger 03	Name: age (if child)
Passenger 04	Name: age (if child)
Passenger 05	Name: age (if child)
Passenger 06	Name: age (if child)
Street Address
City
State
Zip
Home Phone:
Work Phone:
Fax number:
Email:
Resort:	OR
Island:
Check In:	Month Day Year
Check out:	Month Day Year
Total nights stay:	(NOTE: Seven nights maximum)

Please provide a valid credit card number for request submission. Upon confirmation, a non-refundable deposit of $150.00 will be charged to your credit card (for bookings at Sandals and Beaches Resorts, an additional deposit of $25 per night will be charged by Unique Vacations). You will then be issued a detailed invoice for final payment of the balance due. Accepted forms of payment: Visa, MasterCard, Discover, and money order (sorry, no personal checks or American Express).

Credit Card #

exp date month: year:

Please adhere to the following notice parameters when submitting a request: (1) no less than seven days, and (2) no more than eight weeks. Confirmation of available space will not approved until 30 days prior to your requested date of arrival. Confirmations are based upon availability of allotted rooms at special promotional rates and are not subject to parameters of standard full-fare bookings.

The following periods are considered 'blacked-out' and unavailable for discount bookings: four days before and after all major U.S. holidays (Presidents Day, Easter, Memorial Day, Independence Day, Labor Day, Thanksgiving) and the period between December 15 and January 05 (Christmas and New Year's).

Upon confirmation, a non-refundable deposit of $150.00 will be charged to your credit card (for bookings at Sandals and Beaches Resorts, an additional deposit of $25 per night will be charged by Unique Vacations). The remaining balance is due within seven days. A fee of $100.00 will be charged for any changes to a travel itinerary following confirmation. Clients cancelling with a minimum of 15 days notice before date of check in may opt for a 100% in-house credit with General Vacations (valid for one year from date of charge), or a partial cash refund (50% of the original total). Reservations cancelled 14 days or less prior to confirmed date of check in are not eligible for any refund or credit.

By checking the box below, you acknowledge that you understand and agree to comply with the information and procedures described above.

I AGREE WITH THE TERMS DESCRIBED HEREIN.