Encore Travel - Fiancé Package Action Request Form

This form will help us collect the information we will need to work with you and your fiancé. It is more accurate and less time consuming to pass it to us in this way, rather than over the phone.

Please note that consular offices and airport personnel around the world have become very sticky about identity documentation. To avoid needless problems, please make sure that your fiancé’s name is spelled in English letters exactly as it is printed in her passport.

Instructions:

1. Please fill out the following form completely using only letters (any case) and numbers, and no special symbols

2. Mandatory fields are highlighted in this fashion.

3. Please use the last field to notify us of any special requests not covered by the form

4. Press the SUBMIT button below to submit the completed form to us.

5. Press the CLEAR button below to clear all fields

Sponsor Information

First Name
Last Name
Street Address
City
State
ZipCode
Day Phone
Evening Phone
FAX
E-mail address (enter "None" if applicable)


Fiancé Information
First Name as shown in her passport
Last Name as shown in her passport
Street
City
Postal Code
Province
Country
Home Telephone
E-mail address
City where interview is held
Date of Interview

Name of 1st child as spelled on passport
Date of Birth (day/month/year)
Name of 2nd child as spelled on passport
Date of Birth (day/month/year)
Package Type
No. of Additional Nights
Other requests or comments:

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