| Client's
Demographics |
| AS-EAP VIP Member Number (May skip rest of demographics
unless different from file) |
|
| Client's
Passport Name |
|
| Client's
Address |
|
| Contact
Phone |
|
| Email |
|
| Complete
Section For Air Ticket Only |
|
| Passport
Name(s) of all additional passenger(s) |
|
| Number
of Adult (>12 yrs old) |
|
| Number
of Children (<12 yrs old) and Ages |
|
| From
(City or Airport Name) |
|
| To
(City or Airport Name) |
|
| Departure
date (mm/dd/yyyy) |
|
| Return
Date (mm/dd/yyyy) |
|
| Preferred
Air Departure Time Period (morning, afternoon or evening) |
|
| Additional
Instruction (Time or specific flight) |
|
| Complete
Below For Train Ticket Only |
|
| From
(City or Train Station Name) |
|
| To
(City or Train Station Name) |
|
| Departure
Date (mm/dd/yyyy) |
|
| Return
Date (mm/dd/yyyy) |
|
| Preferred
Accommodation |
|
| Number
of Adult Ticket(s): (Age>10 or 5-9 with body height over 1.4 m) |
|
| Number
of Children Ticket(s): (Age 5-9 with height<1.4 m or Age 0-4 with
height >1.1 m) |
|
| Additional
Instruction (Time or Specific Train) |
|
| Complete
Below For Hotel Reservation Only |
|
| Name
of City |
|
| Preferred
Hotel Location (Please as specific as possible) |
|
| Check
In Date (mm/dd/yy) |
|
| Check
Out Date (mm/dd/yy) |
|
| Number
of Room |
|
| Preferred
Bed Size (Subject to Availability) |
|
| Number
of Bed(s) |
|
| Price
range per night (specify denomination and number) |
|
| Preferred
Hotel Type |
|
| Comment
(specific hotel name/chain, etc) |
|
| |
