Passenger Information Form

File/Invoice Number*
Located at the top of your invoice
Departure Date*
Date Format: DD slash MM slash YYYY
Travelling With*
Coach Pick up From
Personal Information
Please complete this form once for each person travelling. NOTE: Airlines & Cruise Lines now require passengers names as shown on their passports. These details are used on your tickets and corrections may incur charges. Cruise Lines require passengers have adequate insurance.
Title*
Surname*
Forename(s)*
Email Address*
Mobile Number*
Nationality*
Date of Birth*
Date Format: DD slash MM slash YYYY
Place of Birth*
Passport Number*
Where Issued*
Date of Issue*
Date Format: DD slash MM slash YYYY
Date of Expiry*
Date Format: DD slash MM slash YYYY
Next of Kin*
(Not travelling with you)
Next of Kin Phone Number*
Relationship to you*
Insurance (Insurance is Compulsory for cruises)*
- I would like to purchase insurance from Cruisescapes
- I have my own insurance policy (give details below)
Insurance Company (if own insurance)*
I have my own insurance policy (give details below)*
Insurance Policy Number*
Dietary Requirements
Special Requests
Dining, room layout, special occasions etc
55Club
- I would like to join the 55Club
If you are not already a member and have reached your 55th birthday, why not join the 55Club? It's free, it's easy and the above details are all we need.
Email Address*

Personal Information