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 Ancient Kingdoms Holidays Registration Form
(to be completed for all bookings)
 
 Departure date from NZ:  * 
 show as DDMMYY e.g. 180515

 ESSENTIAL INFORMATION for document processing
   

 PASSENGER 1
 PASSENGER 2
 Surname    
 First Name
   
 Title (Mr / Mrs / Miss / Ms etc)  
 
 TRAVEL AGENT DETAILS
   
 Agency Name
 
 City/Branch
 
 Consultant Name
 
 Phone number
 
Innovative Travel Booking Ref: INOB 
 
 CLIENT CONTACTS
 PASSENGER 1
 PASSENGER 2
 * Email:    
NZ address (street, city, postcode): 
   
* Emergency OVERSEAS mobile:
   
* Emergency Phone contact in NZ:
   
PASSPORT / VISA DETAILS
 PASSENGER 1
 PASSENGER 2
* check all visa requirements for your holiday destination with your travel agent
* passports must be valid for at least 6 months from your return travel date
* all information supplied will be governed by the Privacy Act 1993.  It may be used for marketing purposes by Innovative Travel unless requested otherwise.

please forward a copy of your passport to your travel agent at the same time you complete your online registration form.
 Nationality:    
 Passport Number:
   
 Date of Birth:
   
 Place & date of issue:
   
 Expiry date:
   
     
 TOUR DETAILS
   
Name of TOUR ONE
 
Tour start date & city: 
 
Room type: 
 Single Double Twin triple
ARRIVAL FLIGHT DETAILS
 
Flight arrival date:
  *
Flight number:
 
Flight departure point:
 
Flight arrival time: 
 
 Room type:
 Single double twin   triple   
 Name of TOUR TWO:
 
 tour start date & city:
 
 Arrival date / flight number / from / arrival time:
  
           
   
   
   
 Room type (see above):
 
 Tour class (see above):
 
 MEDICAL INFORMATION
 PASSENGER 1
 PASSENGER 2
 Do you have a special medical condition *
 yes no  yes no
 If "yes" please advise specific details
   
 Do you have any fitness/physical activity limitations *
  yes no
 yes no
 If "yes" please specify details
   
If you answered 'yes' to either of the above and are required to complete a pre-existing medical form for your travel insurance policy please forward a copy of your policy to us along with the registration form.  All touring involves some walking - often on uneven ground.  Travel Insurance is compulsory for all passengers
     
 Special diet restriction?:
(for medical or religious reasons only)
   
 Main reason for visiting your chosen destination:
   
 Are you a repeat traveller with Innovative Travel or Ancient Kingdoms Holidays
 yes no  yes no
 If you answered "yes" to the above question, what year and destination did you travel to
   
 How did you hear about us:
 Friend Travel Agent Website magazine  newspaper TV
 If you ticked Magazine / newspaper or TV please specify which
   
 Would you like to receive any other Innovative Travel brochures
  yes no
 yes no
 If you ticked "yes" which brochure(s) would you like
 CIT Italy Battlefield Tours Russia Cruises  Ancient Kingdoms
 CroisiEurope River & Barge Cruises  Ancient Kingdoms Asia
  Eastern Europe   Africa Small Group Safaris   Religious Tours
           

 I/We enclose a non-refundable registration of $300 per person ($400 early bird).
 I/We have read and accept the terms and conditions as set out in the Travel Information & Booking Conditions section of the current Ancient Kingdoms Holidays brochure.

If payment is within the cancellation period or Earlybird cut off full payment is required.

 I have read and understood all the conditions *

 Date 

  I have read and understood all the conditions *

 Date 

   Ancient Kingdoms Holidays Terms & Conditions

       * denotes compulsory elements
 

A completed Registration Form and deposit is required to confirm your booking.
Deposit and copies of passport(s) and/or Insurance policy (if required) can be forwarded to us by your Travel Agent.

Once you submit your registration form you will receive a confirmation of receipt email.

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