China Wine Tours Passenger Information Form

Please complete this form for each person staying in your room. (You may also print this page, complete it and fax it to 909-798-5130.) Once received an agent will contact you via phone for deposits or payments.

Your reservation is not confirmed until a deposit is received.

Names must appear exactly as they do on your official documents (Passport) that you will present the authorities and/or airline as identification (no nicknames).

WE HIGHLY RECOMMEND TRAVEL PROTECTION – PLEASE CALL US FOR DETAILS ON INSURANCE BENEFITS AND PREMIUM! 1-909-793-0328 extension 311 or Click Here

Passenger #1
*Tour Start Date:
Coupon Code:
Group Name (if applicable):
*Title:
*First Name:
*Last Name:
*Passport Number:
*Passport Expiration Date:
*Street Address:
*City, State, Zip Code:
*Email Address:
*Phone Number with Area Code:
*Date of Birth (Month, Day, Year):
Citizenship:
*Number per room:
Special Needs (diet or other):
Passenger #2
Title:
First Name:
Last Name:
*Passport Number:
*Passport Expiration Date:
Street Address:
City, State, Zip Code:
Email Address:
Phone Number with Area Code:
Date of Birth (Month, Day, Year):
Citizenship:
Special Needs (diet or other):
Check this box indicating that you understand that your reservation is not confirmed until we have received your deposit. (An agent will contact you to make payment arrangement for your deposit.)
*Travel Insurance: