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Home
About
What We Do
About Laura
Meet the Team
Important Information for Traveling
Partners
Join the Club
Join the RTLM Club
Client Testimonials
FAQs
Contact Us
Forms
Find Inspiration
Laura's Favorite Itineraries
YACHT CHARTERS
Newsletters
Curated Groups
Upcoming RTLM Travel Groups
Active Adventure
Wine & Gastronomy
Wellness
Blog
Intake Form
Last Name
Street Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Wedding Anniversary
MM
DD
YYYY
Emergency Contact Name & Phone Number (someone who does not travel with you)
Traveler #1 Personal Information
*
(First, Middle, and Last Name it appears on passport)
First Name
Last Name
Preferred Name
Phone
*
(###)
###
####
Email
*
Gender
*
Male
Female
Prefer not to say
Date of Birth
*
MM
DD
YYYY
Allergies or Dietary Restrictions- Please Describe Restrictions
*
Mobility or Medical Needs- Please Describe Needs
*
Do you have a passport?
*
Yes
Applying now
No, please refer me to Expeditor Service
No, I don't need one
Passport Information Traveler #1
Passport Number:
Date of Issue
MM
DD
YYYY
Expiration Date
MM
DD
YYYY
Country of Issue
Place of Birth
Global Entry Number
Preferences & Interests of Traveler #1
Airline Seating Preference
Window
Aisle
No preference
Airline Loyalty Number(s)
Hotel Loyalty Number(s)
Rental Car Loyalty Number(s)
Type of Rental Car Preferred
Economy
Compact
Mid-size
Full-size
Luxury
SUV
Van
Convertible
When I'm surprised with a welcome amenity, my preferences would be
Fruit
Still Water
Sparkling Water
Something Local
Fresh Flowers
Something Healthy
Chocolate
SURPRISE ME!
Hobbies or Interests
Please tell us about any special preferences or needs (including preferred bedding)
Do you have another traveler to add?
*
No (Proceed to "Signature")
Yes (Continue Below)
This form allows up to 6 travelers. Once you have added all of your travelers, please proceed to "Signature." If you have more than 6 travelers apart of your group, we'll collect the additional travelers' information through later client service communication.
Traveler #2 Personal Information
(First, Middle, and Last Name it appears on passport)
First Name
Last Name
Preferred Name
Phone
(###)
###
####
Email
Gender
Male
Female
Prefer not to say
Date of Birth
MM
DD
YYYY
Allergies or Dietary Restrictions- Please Describe Restrictions
Mobility or Medical Needs- Please Describe Needs
Do you have a passport?
Yes
Applying Now
No, please refer me to Expeditor Service
No, I don't need one
Passport Information Traveler #2
Passport Number:
Date of Issue
MM
DD
YYYY
Expiration Date
MM
DD
YYYY
Country of Issue
Place of Birth
Global Entry Number
Preferences & Interests of Traveler #2
Airline Seating Preference
Window
Aisle
No preference
Airline Loyalty Number(s)
Hotel Loyalty Number(s)
Rental Car Loyalty Number(s)
Type of Rental Car Preferred
Economy
Compact
Mid-size
Full-size
Luxury
SUV
Van
Convertible
When I'm surprised with a welcome amenity, my preferences would be
Fruit
Still Water
Sparkling Water
Something Local
Fresh Flowers
Something Healthy
Choclate
SURPRISE ME!
Hobbies or Interests
Please tell us about any special preferences or needs (including preferred bedding)
Do you have another traveler to add?
No (Proceed to Signature)
Yes (Continue Below)
Traveler #3 Personal Information
(First, Middle, and Last Name as it appears on passport)
First Name
Last Name
Preferred Name
Phone
(###)
###
####
Email
Gender
Male
Female
Prefer Not to Say
Date of Birth
MM
DD
YYYY
Allergies or Dietary Restrictions - Please Describe
Mobility or Medical Needs- Please Describe
Do you have a passport?
Yes
Applying Now
No, please refer me to Expeditor Service
No, I don't need one
Passport Information Traveler #3
Passport Number:
Date of Issue
MM
DD
YYYY
Expiration Date
MM
DD
YYYY
Country of Issue
Place of Birth
Global Entry Number
Preferences & Interests of Traveler #3
Airline Seating Preference
Window
Aisle
No Preference
Airline Loyalty Number(s)
Hotel Loyalty Number(s)
Rental Car Loyalty Number(s)
Type of Rental Car Preferred
Economy
Compact
Mid-size
Full-size
Luxury
SUV
Van
Convertible
When I'm surprised with a welcome amenity, my preferences would be
Fruit
Still Water
Sparkling Water
Something Local
Fresh Flowers
Something Healthy
Chocolate
SURPRISE ME!
Hobbies or Interests
Please tell us about any special preferences or needs (including preferred bedding)
Do you have another traveler to add?
No (Proceed to Signature)
Yes (Continue Below)
Traveler #4 Personal Information
(First, Middle, and Last Name as it appears on passport)
First Name
Last Name
Preferred Name
Phone
(###)
###
####
Email
Gender
Male
Female
Prefer Not to Say
Date of Birth
MM
DD
YYYY
Allergies or Dietary Restrictions- Please Describe
Mobility or Medical Needs- Please Describe
Do you have a passport?
Yes
Applying Now
No, please refer me to Expeditor Service
No, I don't need one
Passport Information Traveler #4
Passport Number:
Date of Issue
MM
DD
YYYY
Expiration Date
MM
DD
YYYY
Country of Issue
Place of Birth
Global Entry Number
Preferences and Interests of Traveler #4
Airline Seating Preference
Window
Aisle
No Preference
Airline Loyalty Number(s)
Hotel Loyalty Number(s)
Rental Car Loyalty Number(s)
Type of Rental Car Preferred
Economy
Compact
Mid-Size
Full-size
Luxury
SUV
Van
Convertible
When I'm surprised with a welcome amenity, my preferences would be
Fruit
Still Water
Sparkling Water
Something Local
Fresh Flowers
Something Healthy
Chocolate
SURPRISE ME!
Hobbies or Interests
Please tell us about any special preferences or needs (including preferred bedding)
Do you have another traveler to add?
No (Proceed to Signature)
Yes (Continue Below)
Traveler #5 Personal Information
First, Middle, and Last Name as it appears on passport)
First Name
Last Name
Preferred Name
Phone
(###)
###
####
Email
Gender
Male
Female
Prefer Not to Say
Date of Birth
MM
DD
YYYY
Allergies or Dietary Restrictions- Please Describe Restrictions
Mobility or Medical Needs- Please Describe Needs
Do you have a passport ?
Yes
Applying Now
No, please refer me to Expeditor Service
No, I don't need one
Passport Information Traveler #5
Passport Number:
Date of Issue
MM
DD
YYYY
Expiration Date
MM
DD
YYYY
Country of Issue
Place of Birth
Global Entry Number
Preferences & Interests of Traveler #5
Airline Seating Preference
Window
Aisle
No Preference
Airline Loyalty Number(s)
Hotel Loyalty Number(s)
Rental Car Loyalty Number(s)
Type of Rental Car Preferred
Economy
Compact
Mid-size
Full-size
Luxury
SUV
Van
Convertible
When I'm surprised with a welcome amenity, my preferences would be
Fruit
Still Water
Sparkling Water
Something Local
Fresh Flowers
Something Healthy
Chocolate
SURPRISE ME!
Hobbies or Interests
Please tell us about any special preferences or needs (including preferred bedding)
Do you have another traveler to add?
No (Proceed to Signature)
Yes (Continue Below)
Traveler #6 Personal Information
(First, Middle, and Last Name as it appears on passport)
First Name
Last Name
Preferred Name
Phone
(###)
###
####
Email
Gender
Male
Female
Prefer Not to Say
Allergies or Dietary Restrictions- Please Describe Restrictions
Mobility or Medical Needs- Please Describe Needs
Do you have a passport?
Yes
No, refer me to Expeditor Service
Applying Now
No, I don't need one
Passport Information Traveler #6
Passport Number:
Date of Issue
MM
DD
YYYY
Expiration Date
MM
DD
YYYY
Country of Issue
Place of Birth
Global Entry Number
Preferences & Interests of Traveler #6
Airline Seating Preference
Window
Aisle
No Preference
Airline Loyalty Number(s)
Hotel Loyalty Number(s)
Rental Car Loyalty Number(s)
Type of Rental Car Preferred
Economy
Compact
Mid-size
Full-size
Luxury
SUV
Van
Convertible
When I'm surprised with a welcome amenity, my preferences would be
Fruit
Still Water
Sparkling Water
Something Local
Fresh Flowers
Something Healthy
Chocolate
SURPRISE ME!
Hobbies or Interests
Please tell us about any special preferences or needs (including preferred bedding)
Signature
Please ensure that all of the information above is accurate and true before continuing.
Resort to Laura Madrid is pleased to provide a Travel and Cancellation insurance quote for your travels, but I understand that it is ultimately my responsibility to request travel insurance and to ensure it is confirmed on my behalf.
*
I agree
I disagree
By typing your name here, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
*
By signing below, you agree to the following Terms and Conditions: http://www.resorttolauramadrid.com/terms-conditions-1
Thank you!
