Stoney Creek Travel16 Camelfield Rd., Weaverville, NC 28787Phone: 828-658-2582
Each passenger must complete this form. NAMES MUST APPEAR AS ON PASSPORT OF OTHER TRAVEL DOCUMENTS
FORM CAN BE SUBMITTED ONLINE OR FAXED TO STONEY CREEK TRAVEL 828-658-3080 (LET ME KNOW YOU ARE SENDING) OR MAILED TO: 16 CAMELFIELD RD., WEAVERVILLE, NC 28787
Submission Date
Last Name (If applicable, include "Jr"
First Name (NO Nicknames)
Middle Name (No Initials)
Title (Mr. / Mrs./ Ms / Dr.
Marital Staus (Married or Single)
Date of Birth (mm/dd/yyyy)
Occupation
Home Phone Number
Work Phone Number
E-mail Address
Mailing Address
Street Address
(If Mailing Address Is A PO Box)
Country of Birth
Country of Citizenship
DOCUMENT TYPE YOU WILL BE USING IF TRAVELING OUTSIDE THE USA
*Passport OR *CERTIFIED Birth Certificate From Gov’t Agency And Gov’t Issued Photo ID
Please Check The One(s) You Will Be Using And Provide Information About the Document(s)
Passport Number
Nationality of Passport
Place of Issue
Date of Issue
Date of Expiration
In What State Were You Born?
What State Is Gov't Issued ID From?
Non-USA Citizens may use valid Green Card plus valid passport from country of residency)
Green Card Number
Place of Issue
Date of Issue
Date of Expiration
Emergency Contact: Must Be Someone Not Traveling With You
First and Last Name
Phone Number
E-mail Address
Name(s) of Roommate(s)
A form must be completed and submitted for each traveler.
16 Camelfield Rd., Weaverville, NC 28787