Registration

Step 1: Guest Information

Who is your Travel Agent? *

Where did you first hear about us?

Total Number of Guests:

Guest 1 Information - If we are making an air reservation, Guest name MUST match passport exactly in order to board airplane.

Guest Title :

First Name *:

Middle Name :

Last Name *:

Suffix :

Guest DOB *:

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

Gender * :

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

Your Country :

Street Address *:

City *:

State/Province * :

Zip/Postal Code * :

Whose address is this? :

Email Address * :

Phone Number * :

Email Address of Other Passenger

Phone Number of Other Passenger

Address of Other Passenger (if different)

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

Resort Name

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 Category Request

Departure Airport :

Vacation Type :

Do you need airfare?

Yes No Flights Already Purchased

Travel Protection * :

Yes No

Your Wedding :

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

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

Payment Type :

user defined 1

Submit an additional payment type: Yes No

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

Special Requests :

Other Questions/Comments :

By submitting, you certify that you are the cardholder and are authorizing the travel agency or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Protection Plan details. Cancellation penalties may apply. Insurance is not refundable. This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Please note that you may not see a charge from the travel agency on your credit card statement; the charge will come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement.

The first name, the last name, and the date of birth submitted on this form must be an exact match to your passport. (Middle names are not required, but must be an exact match if included.) Passports must be valid 6 months past the date of return. By checking the box below and submitting this form, you acknowledge that you have read and agree to the Geaux Book It Terms & Conditions.

Submitting this form does not automatically confirm your reservation or charge your card. Your travel agent will receive this form and email you an invoice to confirm your reservation within 48 hours.

I Agree *