Custom Package Form


Please Note
If you have any questions prior to submitting your request for a custom package quote, please call us at
416-235-1212 or email at info@designtravel.ca.
Couples and families travelling together must register individually.
Please check of the items that you want in your custom package. If you are altering an existing package
please choose from the options, if not choose none. We will contact you after its submission to confirm
your request and give you a quote.

Contact Information
First Name:
Last Name:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone (D):
Phone (E):
Cell phone:
E-mail:
Fax:
Occupation:
Reason for travel:
Where did you learn about us:




Internet
Email notice
Yellowpages
Friend
Other

Trip Information
Tour Package (Optional):
Departure Date (yyyy/mm/dd):
Return Date (yyyy/mm/dd):
Departure City:
Arrival City:
Would you like us to
arrange your flight?
Yes No
Number of persons:
Do you want travel insurance?
(Strongly Recommended)
Yes No, I decline travel insurance


Custom Options
Transportation Services
Inland Transportation
Car Rental
Air Transportation
Transfers In/Out and/or City to     City (incl. driver)
Taxi, Minibus or Bus (incl.     driver)
Transfers & Excursions in     Vintage Car (incl.driver)
Local Bus Service
Car Rental
Mini-van
Luxury Car Rental




Flight Ticket Sales
     Reservations
International
     Domestic Flights
Regular Flights
     Charters

Accommodations
Short Stay
Luxury Stay
Long Stay
Hotel

Presidential Suite
Junior Suite
Apartment

Destinations

Locations

Multi-Destination from Cuba (incl. transfers, air & accommodations)

Events, Exhibitions & Fairs

City
Beach
City-Beach
City-City
Beach-Beach
Wedding &/or Honeymoon

Cancun, Mexico
Nassau, Bahamas
Montego Bay, Jamaica
Santo Domingo, Dominican
    Republic
San Jose, Costa Rica
Panama City, Panama
Science & Technology
Medical Sciences
Social Sciences
Cultural
Nautical
Sports

Excursions in Cuba
Havana Only Havana & Varadero Varadero Only
Bar Night
Botanical Garden
Overnight Cienfuegos,
     Topes & Trinidad Tour
Troll Fishing
Vintage Car City Tour

Deep Sea Fishing
Swimming with
     Dolphins




Coral Sailing
Mantanza Splash
Tandem Jump
Tour Varadero
Trinidad & Topes de
     Collantes by Helicopter

Excursions in Cuba or Other Destinations
Nautical Activities Cruising Fishing
Diving Only
Diving Circuit (Live Aboard)
Diving and Excursions
Diving Around Cuba
Courses & SCUBA Dive
    Certificates
Snorkeling




Sail Boat Cruise
Motor Boat Cruise
Catamaran Cruise
Sailing Courses in Catamaran
    (Hobbie Cat 18 ft.)






Fishing Circuit (Live Aboard)
Sport Fishing International
    Tournament
Sport Fishing Private
    Tournaments
Largemouth Black Bass
    Fishing
Tarpon Fishing
Snook Fishing
Deep-sea Fishing
Fly Fishing
Nature, Ecology & Adventures Sports & Recreation Historical, Cultural & Educational
Ecology & Eco-Adventures
Family Adventure
Bird-watching
Nature Photo Hunt
Speleology, Cave Exploration






Hiking & Trekking
Cycling &/or Mountain Bike
Horseback Riding
Sky Diving
Jeep Safari & Convoy
Golfing
Camping
Chess, Dominoes &/or Bridge
Marathon
Motorcycle
Other
Cultural Panorama
Cuban Museum's
Cuban Architecture
Cuban Cuisine
Cuban Music
Dance Courses (Salsa, Son,
    Cha-Cha Cha, Merengue)
Spanish Language Courses



Quality of Life
Stress Relieving Spa
Cleopatra Bath
Beauty Special
Spa Day
Body Balance Spa
Special Services
Business VIP
Company Incentive Services
Conference
Seminar
VIP Client Services



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When you click submit, the information provided will be sent to a Design Travel Representative who will
contact you and confirm all information provided and provide you with a. Please print out a copy for your
records. If you are having trouble sending this form, please print it out and fax it to (416) 244-5801.

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