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Traveler Registration Form

Please complete one form per hotel room needed.  After submitting this form please call us to provide your payment information.
 

  1. Number of people staying together in one hotel room:
    1
    2
    3
    4
    5 (will require special approval)

  2. How many beds do you prefer in your hotel room?
    1
    2

  3. Is anyone in your party under the age of 18?
    Yes
    No

  4. Traveler #1 - Name as it appears on Driver's License:
    First Name
    Last Name 

     

  5. Traveler #1 - Date of Birth (For security purposes, TSA now requires airlines to collect DOB at time of booking):
    MM/DD/YYYY

     

  6. Traveler #1 - Preferred name, the name you go by - first and last:
     
     
  7. Traveler #1 - Address:
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
     
  8. Traveler #1 - Home Phone:
     
     
  9. Traveler #1 - Cell Phone:
     
     
  10. Traveler #1 - Email Address:
     
     
  11. Traveler #1 - Southwest Airlines Rapid Rewards #:
     
     
  12. Traveler #2 - Name as it appears on Driver's License:
    First Name
    Last Name 
     
  13. Traveler #2 - Date of Birth (For security purposes, TSA now requires airlines to collect DOB at time of booking):
    MM/DD/YYYY

     

  14. Traveler #2 - Preferred name, the name you go by - first and last:  
     
     
  15. Traveler #2 - Address:  
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
     
  16. Traveler #2 - Home phone (if same as Traveler #1, enter "same"):  
     
     
  17. Traveler #2 - Cell Phone:
     
     
  18. Traveler #2 - Email Address (if same as Traveler #1, enter "same"):
     
     
  19. Traveler #2 - Southwest Airlines Rapid Rewards #:
     
     
  20. Traveler #3 - Name as it appears on Driver's License:
    First Name
    Last Name 
     
  21. Traveler #3 - Date of Birth (For security purposes, TSA now requires airlines to collect DOB at time of booking):
    MM/DD/YYYY

     

  22. Traveler #3 - Preferred name, the name you go by - first and last:
     
     
  23. Traveler #3 - Address:
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
     
  24. Traveler #3 - Home phone (if same as Traveler #1, enter "same"):
     
     
  25. Traveler #3 - Cell Phone:
     
     
  26. Traveler #3 - Email Address (if same as Traveler #1, enter "same"):
       
     
  27. Traveler #3 - Southwest Airlines Rapid Rewards #:
     
     
  28. Traveler #4 - Name as it appears on Driver's License:
    First Name
    Last Name 
     
  29. Traveler #4 - Date of Birth (For security purposes, TSA now requires airlines to collect DOB at time of booking):
    MM/DD/YYYY

     

  30. Traveler #4 - Preferred name, the name you go by - first and last:
     
     
  31. Traveler #4 - Address:
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
     
  32. Traveler #4 - Home phone (if same as Traveler #1, enter "same"): 
     
     
  33. Traveler #4 - Cell phone: 
     
     
  34. Traveler #4 - Email address (if same as Traveler #1, enter "same"): 
     
     
  35. Traveler #4 - Southwest Airlines Rapid Rewards #: 
     
     
  36. (Intentionally Omitted)
     
     
  37. (Intentionally Omitted)
     
     
  38. Do you or anyone in your party need any special assistance from the airline (i.e. wheelchair)?
    Yes
    No

  39. Number of people in your party bringing golf clubs: 
     
     
  40. Are you interested in more information about a hotel upgrade for an additional charge?
    Yes
    No
     
  41. (Intentionally Omitted)
    Yes
    No
     
  42. (Intentionally Omitted)
    Yes
    No
    Maybe

  43. (Intentionally Omitted)
    Yes
    No
     

  44. (Intentionally Omitted)
    Yes
    No
     
  45. The football team for which you are cheering: 
     
     
  46. Your Name (name of person booking this reservation):
     
     
  47. Payment Method:
    MasterCard
    Visa
    American Express
    Discover
    Paypal
    Personal Check

  48. Cardholder Name and Billing Address of Credit Card you are using (if same as address for Traveler #1 provided above, enter "same"):
    (If you wish to divide charges between two or more credit cards for people staying in the same room, please indicate so in #50 below.)
    Cardholder First Name
    Cardholder Last Name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code


  49. How did you first hear about this travel package offering?
    Google Search
    Google Display Ad on a football related site
    Facebook Display Ad
    Other (please list below)
     
     
  50. Please provide any additional information that will help us process your order.

   Please double check all information before hitting "Submit Form".

                                                 

 

BCS Package Tours

Office hours (Eastern Time):   info@BCSPackageTours.com
9 a.m. - 10 p.m. Monday - Saturday (888) 509-7960  (toll free)   
1 p.m. - 10 p.m. Sunday

Not available to Florida residents.
Copyright (c) 2010 BCS Package Tours.  All rights reserved.