TPI
   
Madeline Matheson
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  Madeline Matheson, CD, CTC
Travel Consultant, TPI

Phone: 613-625-1501
Toll-free: 1-866-625-1501
madeline.matheson@tpi.ca

Booking Request Form space

Trip Details:

    
Destination *
Departure City *
Number of Adults *
Number of Children *
Length of Trip *
   
   
Departure Date:  
Departure Date*
Return Date*
Flexible on dates?
   
 
   
Do You Require: Interests:
Air
Train
Coach
Hotel
Car
Transfers
Tours
Attractions		 R & R (rest & relaxation)
Culture
Education
Beaches
Shopping
Nightlife
Other
 
   
Cruise Preference:  

Cruise Line
Ship
Wheel Chair Access
Dining Preference      Early             Late

   
   
Type of Accommodations:  
Suite
Balcony
Outside
Inside		  
   
Travel Insurance Request  
Type of Coverage:  

Cancellation & Interruption
Emergency Medical
Non-medical Package
Deluxe Total Package
(Emergency Medical, Cancellation & Interruption, Flight Accident, Travel Accident, Baggage & Personal Effects)

Addition Information:

  
Contact Information:  

Title

First Name *
Last Name *
Email Address *
Day Time Phone # *
Evening Phone #
   
   
 
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