If you are a new client this Traveler Profile covers the basics needed to create your booking. 

Full Name as it is on your id or passport *
Full Name as it is on your id or passport
(include any middle name if applicable)
Home Phone *
Home Phone
Mobile Phone *
Mobile Phone
Date of Birth *
Date of Birth
Anniversary Date
Anniversary Date
Date of Expire
Date of Expire
Spouse or Partner Full Name
Spouse or Partner Full Name
(include any middle name if applicable)
Their Date of Birth
Their Date of Birth
Date of Expire
Date of Expire
Child Full Name 1
Child Full Name 1
As shown on passport - (include any middle name if applicable)
Child 1 Date of Birth
Child 1 Date of Birth
Passport Date of Expire
Passport Date of Expire
Child 2 Full Name
Child 2 Full Name
As shown on passport - (include any middle name if applicable)
Child 2 Date of Birth
Child 2 Date of Birth
Passport Date of Expire
Passport Date of Expire
Child 3 Full Name
Child 3 Full Name
As shown on passport - (include any middle name if applicable)
Child 3 Date of Birth
Child 3 Date of Birth
Passport Date of Expire
Passport Date of Expire
Air Preferences *
(check as many as apply)
Air Seat Preferences
(Please provide as much information as possible (including allergies), so your experience is tailormade for you.)
(Room Temperature, Pillow Type, Additional Towels, Music Preference, etc)
Welcome Gift Preferences *
(The more I know about what you like the better I am able to customize your welcome)
I acknowledge that airlines and other service providers require the name and date of birth on each passengers passport to match the name on record used to make the reservation. I understand that all names and dates of birth submitted via this form will be used to book flights and other requested services. I understand that any incorrect submissions may result in change or cancellation fees to reissue services with the correct information. Travel With Melissa LLC is not liable for any incorrectly submitted information on this form. *
I acknowledge that all passengers listed on this form either have or will obtain a passport that is valid for at least 6 months after travel return date and that airlines will not allow boarding if any passports are not in compliance with this requirement. Travel with Melissa LLC is not liable for damages or additional costs that may result from using an invalid passport document. *
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