Empire Travel Trip Registration Form

Thank you for trusting Empire Travel with your booking! Please NOTE This form does NOT confirm your travel, we will take this information and send you a separate confirmation once booked.

Kindly ensure that the names you are providing for yourself are the legal names as per your passports. Please note that misspelled or incorrect names could cause denial of boarding!

Passenger 2 (if applicable)

Passenger 3 (if applicable)

Passenger 4 (if applicable)

Billing Address for Passenger 1

Please submit your credit card info below

Empire Travel strongly recommends the purchase of Travel Insurance. Would you like a quote on Travel Insurance?

Your booking is non refundable and no changes are permitted after travel *
I have confirmed that the names above match the passports *
 
I have confirmed that and that there is a validity date of 6 months after my return date of travel *
 
Please sign here to accept the terms and conditions of Empire Travel and your Supplier Partner, and allow Empire Travel to charge your credit card for travel as discussed (www.empiretravel.ca/supplierterms) *
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