If you would like an agent to call you regarding a specific vacation pkg. Please Print the form below and fill in all the necessary information and fax to 215-968-5817


Type of Vacation

Escorted Tour_____ Cruise_____ Other_____

Preferred Cruiseline_____ Tour Company_____

Destination/ Country____________ City__________ Resort Area___________

Last Name__________________ First Name__________________

Street Address____________________ City________________ State_______

Zip______________

Home Phone__________ Business Phone__________ Fax__________

If you have used Newtown Travel before please give your agent Name
_____________________________________________________

Number of Travelers______ Adults______ Children______

Ages of Children ____ ____ ____ ____ ____ ____





Type of Accommodations

Hotel_____ Condo_____ Villa_____

Price Range
Luxury_____ Deluxe____ Moderate______

Number of Rooms_____ or Cabins if a Cruise_____

Number of Beds per room
King_____ Dbls_____ Triple_____





Airline Tickets

Departure Date
Month_______________ Day_______________ Time__________

Flight Preferences
Airline______________________ Departure City______________________





Auto Rental

Preferred Rental
Company_____________________ Size Car____________________

Pick up location________________________

Drop Location______________________ Car Seat___________________

Luggage_____________________ Ski Rack_________________________



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