(403) 999-5097 info@ahwehvacations.ca

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A LITTLE MORE ABOUT YOU!

Thank you for your interest in booking an amazing vacation with us. Please take a moment to complete the following Client information form.

Customer Form

To be completed for each traveler/passenger, you will need passport and credit card information. (Main traveler is the person whose credit card will be charged for this vacation). ( * denotes mandatory field)
I am the main traveler/Credit Card Holder.*
Yes
No
Last Name of Primary Traveler*
Relationship to Traveler*

TRAVELER INFORMATION AS IT APPEARS ON PASSPORT
Last Name*
First Name*
Middle Name

CONTACT INFORMATION
Street Address*
Address 2
Apt/Suite
City*
Province/State*
Postal/Zip Code*
Country*
Please specify
Primary Phone*
Secondary Phone
Other Phone
Primary Email*

Alternate Email

PASSPORT INFORMATION
Gender*
Citizenship*
Please specify*
Birth Date*

Passport Number*
Expiration Date (dd mm yyyy)*

Issue Date (dd mm yyyy)*

Issuing Country*
Please specify*
Please upload a photo of your passports (optional)
Do you have duel citizenship?*
Yes
No
Birth Date*

Passport Number*
Expiration Date (dd mm yyyy)*

Issue Date (dd mm yyyy)*

Issuing Country*
Please specify*

EMERGENCY CONTACT INFORMATION
Emergency Contact Full Name*
Emergency Contact Phone*
Emergency Email*

Relationship to Traveler*

CREDIT CARD INFORMATION
Please be advised that credit cards are not processed in real time. In some cases, it may take up to 72 hours for charges to appear on your credit card. Once processed, an invoice/receipt will be issued to the main traveller at the email address provided.
Credit Card Type*
Credit Card Number*
Expiration*

ONLY YEAR AND MONTH REQUIRED****
Name on Card*
CVV*
Upload a photo of the from your credit card (optional)
Upload a photo of the back of your credit card (optional)

ADDITIONAL INFORMATION
Do you have allergies or dietary restrictions?*
Yes
No
Please Specify
Do you have special needs or medical conditions that we should be aware of?*
Yes
No
Please Specify
Do you already have a travel date?*
Yes
No
Start Date*

End Date*

Do you have have a specific destination?*
Yes
No
Please Specify*

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Ah Weh Vacations is affiliated with Nexion Travel Group Canada

© Ah Weh Vacations ® 2019 All right reserved. Privacy Policy

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