Trip Reservation Form


Travelers residing at different addresses should complete separate forms.
For additional travelers, please fill out necessary information on additional forms.

We encourage you to ask questions, make suggestions and talk with our Travel Consultants. Call us at 800.377.9463 or use the form below. We respect your privacy. All information will be used solely by Southwind Adventures and will not be rented or sold to any individual or company. Fields marked with a star (*) are required.

Trip Information

* Trip Name:

Departure Date:

Return Date:

* Traveler's Name (as it appears on passport):

Second Traveler's Name (as it appears on passport):


Traveler 1 Information

Age:


Gender:


Height:


Smoker:


Weight:


Citizenship:


Date of Birth:

* Passport Number (please indicate if you are renewing and/or will provide later):

Expiration Date:


Traveler 2 Information

Age:


Gender:


Height:


Smoker:


Weight:


Citizenship:


Date of Birth:

Passport Number (please indicate if you are renewing and/or will provide later):

Expiration Date:


Family Travel With Kids

To be completed ONLY if you are signing up as a family with children living in the same household.

Name of first child:

Date of Birth:


Gender:


Height:


Citizenship:


Passport Number:

Expiration Date:







Name of second child:

Date of Birth:


Gender:


Height:


Citizenship:


Passport Number:

Expiration Date:







Contact Information

* Address

* City

* State

* Zip Code (or postal code, if outside the USA)

Country (if outside the USA):

* Email:

* Day Phone:

Cell Phone:


In case of Emergency:

Contact Name:

Relationship:

Phone:

Alternate Phone:



Accommodations

I will share with:

Where available we prefer:

If you are traveling solo, please choose one of the following:

 Please assist in finding me a roommate (I agree to pay the single supplement if no roommate is available).
 I prefer single accommodations whenever possible and understand that there is an additional charge.

If you are traveling with kids, please contact your Travel Consultant about adjoining rooms and other configuration options.



Air Transportation

Southwind trips DO NOT INCLUDE INTERNATIONAL OR IN-COUNTRY FLIGHTS (unless indicated otherwise in the Published Trip Itinerary or Custom Trip Proposal). Upon receipt of your deposit, SWA will provide recommended arrival/departure dates and times as well as options for booking your flights through our affiliated ticketing office.



Deposit and Payment Information

A $1,000 - 1,500 per person per trip deposit is required to make a reservation. Private or customized adventures require a $1,500-$5,000 per person deposit according to trip length and destination among other factors.

Please contact your Travel Consultant for deposit payment arrangements.

Additional Information

How did you hear about Southwind Adventures? Please be specific:

Comments/Questions/Requests/Additional Services:


Upon submitting this form, please wait until you get a “sent successfully” message. You will receive an automated email containing a copy for your records.



Thank you for your reservation!