Forms

Traveler Information Form

Please complete this form for your upcoming travel.

Payment Authorization Form

TRAVELERS MUST HAVE PROPER TRAVEL DOCUMENTS For international travel, U.S. CITIZENS MUST HAVE A VALID PASSPORT or original certified birth certificate w/raised seal and photo ID. NON-U.S. CITIZENS and RESIDENT ALIENS should contact their respective embassies and U.S. Immigration for applicable regulations.

Step 1 of 3

Traveler 1
First Middle Last
Date of Birth
Gender
Traveler 2
First Middle Last
Date of Birth
Gender
Check In Date*
Check out Date*
Email
Preferred Phone
How would you like to handle flight arrangements?
- Please book flights for me (Agent assisted)
- I will book my own flights (DIY)
International Travelers: Is your passport valid for at least 6 months after your return date?
Travel Tip: Please check your passport! Most international destinations require at least 6 months of validity remaining after your trip ends. If yours is expiring soon, apply for an expedited renewal now to ensure you can still fly.
- Yes
- No
Traveler's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

DO YOU WISH TO PURCHASE TRAVEL PROTECTION INSURANCE?
Optional Protection: Protect your flight and resort stay by adding travel insurance for an extra charge of $90 total.
Flights: Cancel anytime up to 24 hours before departure - truly for any reason, and receive an 80% cash refund.
Resort: Should the reservation be modified, additional charges may apply with current pricing on the day of the change. Up to 4 days before the arrival date, there are no penalties when modifying or canceling a reservation, if using the Reservations Insurance.
Any Special Requirements?

Name on Card
First Middle Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card Type*
Credit Card Number*
Expiration Date*
Security Code*
Consent*
I authorize Empress Life Travel to charge this card for the amount quoted.