TravelBuilders International llc
Hometown Service to Worldwide Destinations!
Please insert the following:
Trip Name ________________Trip Dates__________________
Your Name(s) _____________________Date(s) of Birth: _______________
______________________ _______________
As they appear or will appear on your US Passport Required by Airline.
Street Address: _____________________________________________________________________________________________________________________
City: _________ State: ______ ZIP: ________
Telephone Nbr: Home __________________BUS.__________
e-mail ____________________
US Passport Nbr: ______________________ Exp. Date: _____________
Double Room: Yes: _______
Rooming with: _______________________________________
Single Room: Yes: ________
Will you require the “Optional” Trip Interruption and Cancellations Insurance?
Yes: ____ No: ___
Please complete this reservation(s) form and return it with your $200.00 per-person deposit to the address indicated on the bottom of this page.
Make check(s) payable to: TravelBuilders Int’l LLC.
Return completed form, with deposit check,
to: TravelBuilders Int’l
If you have any questions or require more information with regard to this form, please contact Bill Kenney at (860) 529 – 8630 or e-mail: