Florida City where you will arrive:
Arrival Date:
i.e. "JAN 3"
Florida city where you will depart:
Departure Date:
i.e. "DEC 14"
Phone:
E-mail:
Number of people traveling:
Full Names (as listed on passport if arriving from outside U.S.)
and Ages of travelers. List "infant" if under 1 year of age.
(If party is more than 6 people, add to special considerations box
below, or resubmit form with additional names)
If arriving from abroad, country on passport:
Geographical areas of interest within Florida:
i.e.: Key West, Miami, Tampa
Length of stay:
i.e.
"3 Days", 2 Weeks", "1 Month"
Special considerations & comments - i.e., health, preferences, etc.