Trip Booking Registration

Thank you in advance for booking with Gold N Dayz Travel!

Please complete the form below carefully. Any questions feel free to contact us directly.

Trip Booking Registration ~ Dons & Divas Takeover Panama

Full Name (as listed on Passport) *

Full Name (as listed on Passport)

First

Last

Date of Birth *

Social Media Names *

Social Media Names

Facebook

Instagram

Phone Number *

Email Address *

Check here to receive email updates

I agree to receive email updates from Gold N Dayz Travel

Roommate Full Name (If Applicable)

Roommate Full Name (If Applicable)

First

Last

Date of Birth

Roommate Social Media Names

Facebook

Instagram

Roommate Phone Number (If Applicable)

Roommate Email Address

Check here to receive email updates

I agree to receive email updates from Gold N Dayz Travel

Select Room Type: *

Single Occupancy (Limited Availability)

Double Occupancy

Select Bed Type: *

Double Beds

King Bed

Select Room Category: *

Preferred Club Ocean View

Preferred Junior Ocean View Suite

Covid-19: Are you vaccinated? *

Yes

Provide Deposit amount sent: *

How will your deposit be sent? *

Debit/Credit Card

Zelle

CashApp

Venmo

(If Debit/Credit Card, make sure to complete the Debit/Credit Card Payment form on the home page of our website.)
Click Here for Payment Options.

Who referred you? *

Notes

Acknowledgements: *

I have reviewed the CleanComplete Verification™ practices found below.

I have reviewed the CDC Travel Recommendations for the location of the trip I have selected – found below.

I have reviewed GoldnDayz Travel's travel insurance option found below.

If you are human, leave this field blank.

CLEANCOMPLETE VERIFICATION

CDC TRAVEL RECOMMENDATIONS

TRAVEL INSURANCE OPTION

Trip Booking Registration

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