Travel Request Form – Queen King Luxury Travel

Home
About Us
Active Trips
Why book with a Travel Agent?
Luxury Experiences
Travelers Information Form
Travel Resources

✕

Phuket Trip Registration

April 14–23, 2027 | Deposit $350 + $5 card fee = $355

Traveler Information

Full Name (as it appears on passport) *

Birthday *

Phone Number *

Email *

Address *

Authorization & Signature

I authorize Queen King Luxury Travel to charge my card for the non-refundable Thailand trip deposit of $350.00 USD plus a $5.00 card fee. I acknowledge that this deposit secures my spot on the tour and is subject to the trip's cancellation and refund policies. *

Cardholder Signature *

Sign inside the box using your mouse or finger.

Printed Name *

Date *

🔒 You'll be redirected to our secure Stripe checkout to pay the deposit.