Client Qualified | Serenity Travel

Vacations without Frustrations

472 Clearwater Largo Rd Largo Florida 33770-2336

Call: (727) 953-3591

Spanish Speaking Agent Available!

Client Qualified

Serving Tampa, Wesley Chapel, Dunedin, Oldsmar, St Petersburg, FL and surrounding areas

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Client Qualified Form

Today's Date*

Primary Passenger Name (Must have name exactly as it appears on passport, including middle names)*

Address*

DOB*

Home Phone*

Cell Phone*

Email 1*

Email 2

Mailing List*

Yes

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Additional Passenger Names w/ DOB & Relationship (Full Names)

1. Name*

DOB*

2. Name*

DOB*

3. Name*

DOB*

4. Name*

DOB*

5. Name*

DOB*

6. Name*

DOB*

Type of Travel*

Region you are interested in*

First requested date of travel*

Second choice*

Date requested return*

Second choice*

Total Amount of Travel Insurance (Please Initial)*

Do you and/or traveling companions have passports?*

Yes

How many people in one room*

View/Type of Room*

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Additional nights before/after our Cruise/Tour?

No. of Pre nights*

Post nights*

Special requests*

Special meals (detail)*

Medical Needs*

Quote Information

Segment Type*

Supplier*

Departure Date*

Return Date*

Pax #*

Base Price +*

Taxes/Fees =*

Total Quote*

Confirmation Number*

Name on Credit Card*

Card Number*

Exp. Date*

CVV

Deposit Amount*

Deposit Date*

Final Due Date*

Free Text

I authorize charges for the deposit and/or final payment on the credit card listed above (Full Name in Print)

Electronic Signature Acknowledgment and Consent Form*

We'd Love to Hear From You!

Call our friendly team at (727) 953-3591.

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Contact Information

(727) 953-3591

donald@serenity-travel.com

472 Clearwater Largo Rd Largo Florida 33770-2336, United States

Business Hours

Monday-Friday: 10:00am-5:00pm

Saturday-Sunday: Appointment Only

Seller of travel: FLA Seller of Travel Reg #: ST15578
472 Clearwater Largo Road, Largo, Florida 33770

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