Tears-Lipscomb 1st Anniversary

Step 1: Guest Information

Where did you first hear about us?

Total Number of Guests:

Guests 1 Information - Guests' legal names as listed on passports are required.

First Name *:

Middle Name :

Last Name *:

Suffix :

Guest DOB*:

Please provide a valid date in the "MM/DD/YYYY" format

Email Address *

Phone Number *

Gender * :

Passport Num :

Passport Issuing Country :

Passport Exp :

Please provide a valid date in the "MM/DD/YYYY" format

Citizenship

Step 2: Contact Information Click here to give us more info...

Street Address *:

City *:

State/Province * :

Zip/Postal Code * :

Whose address is this? :

Email Address * :

Phone Number *:

Phone Number 2 * :

Step 3: Trip Information Click here to give us more info...

Departure Date *:

Please provide a valid date in the "MM/DD/YYYY" format

Return Date *:

Please provide a valid date in the "MM/DD/YYYY" format

Room/Cabin Type * :

Transportation Type * :

Bedding Type :

Departure Airport :

Do you need airfare?

Yes No Flights Already Purchased

Flight Preference

Travel Protection Preference *

Travel Protection is Highly Recommended - Travel protection is a great way to cover your trip and WILL BE provided as an OPTION in your Travel Itinerary. It can help with costs if you need to cancel or interrupt your trip due to illness or injury, and also covers medical emergencies, missed connections, and lost baggage. You can get coverage through our booking partners or explore third-party options. This responsibility rests solely with each passenger, and we advise you to do your research and find coverage that best fits your individual needs. While ESD Travels LLC agents can advise on the importance of travel protection, we can’t provide detailed answers about the plans. This we leave to the insurance professionals.

Step 4: Payment Information (optional) Click here to give us more info...

Payment Type :

Submit an additional payment type: Yes No

Select Payment Plan (All plans must be completed by the Final Due Date) *

Select Pay Date (Payments processed on the 15th or 30th) *

Step 5: Additional Information Click here to give us more info...

Special Requests :

By submitting, I certify that all provided information is accurate. I also certify that I will be offered the option to add Travel Insurance and understand that any cancellation without travel insurance may result in the forfeiture of all paid funds. I further understand that insurance coverage will not be applied or active until payment has been applied. Travel insurance is only available within 7 days of deposit for reservations without flights and 24 hours from deposit for reservations with flights. In addition, I understand that the Terms & Conditions, plus details of the Travel Protection Plan will be provided on my Travel Itinerary. I understand that no refunds will be issued in cases of denied boarding or refused entry. (Each individual traveler is responsible for complying with all necessary documentation and entry requirements for travel. Any penalties resulting from denied boarding or refused entry are the traveler's responsibility.) PLEASE NOTE THAT SOME TRAVEL LIMITATIONS MAY APPLY EVEN IF YOU ARE IN POSSESSION OF A VALID PASSPORT. These circumstances may include, but are not limited to: * Pregnancy * Active military service * DUI/DWI conviction * Minor child traveling without both parents * Child support or other legal issues * Criminal history Please advise your Travel Specialist if you have any concerns about your travel plans.

I Agree *

If available, please upload a copy of your Passport