V.I.P Full Name : Address : City : Zip Code : Country : Contact number : Fax : E-Mail :
Destination : Arrival Date : Duration of Stay : Departure Date :
(Please circle your choice)
Purpose of visit : Business Leisure V.I.P Accompany : Family Friends Staff
No.of Person : Men: Request bodyguard ? Yes No Woman: Request woman bodyguard ? Yes No Child: Request babysitter ? Yes No Handicap: Request nurse ? Yes No
V.I.P Bodyguarding : Protection high profile Protection low profile
V.I.P Accommodation : Villa - Full service? Yes No If Yes, Butler Cook Housemaid Other choices :
V.I.P Transportation : Private Jet Helicopter Limousine Yacht
V.I.P Specials Requests :