Reservation Form – Kaplani Travel Agency

Creating Memorable Experiences for the Romance, Family and Business Travelers

Purchase Requirements

Please understand that this booking cannot be confirmed until deposit is made. By submitting this form you are requesting a quote for the travel package on the previous page. Once we receive your information we will review it and follow up with you if we have additional questions. If you have not heard back from a travel advisor within 24 hours (Excluding Holidays and Weekends), please contact us with the information provided on our contact page found HERE.

Travel Cancellation Insurance

We strongly recommend purchasing travel insurance due to the vendor's very strict Cancellation policies. Vacation care travel insurance must be purchased no later than the final payment date. Please review the box for travel insurance and mark you preference on whether or not you would like a quote.

Departure Airport*
Number of nights*
Preferred Departure Date*
Number of Rooms*
Number of Travelers*
Lead Passenger*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 2*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 3*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 4*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 5*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 6*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 7*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 8*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 9*
First Middle Last
DOB*
MM slash DD slash YYYY
Passenger 10*
First Middle Last
DOB*
MM slash DD slash YYYY
Billing Information
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Room Choice*
Request Travel Insurance Quote*
- Yes
- No
Please indicate if you would like to receive a travel insurance quote with you booking quote.
Insurance Plan
Chaperone Name*
Special Requests*
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Contact Info

Taylor, MI

book@kaplaniagency.com

kaplanitravel.com

Affiliated Travel Professional with Cruises and Tours Unlimited FST No: ST15578 CST No. 2090937-50 WUBID No. 603189022

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