www.bermudaarrivalcard.com
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199.27.70.71
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Submitted URL: http://www.bermudaarrivalcard.com/
Effective URL: https://www.bermudaarrivalcard.com/
Submission: On September 27 via manual from MX — Scanned from DE
Effective URL: https://www.bermudaarrivalcard.com/
Submission: On September 27 via manual from MX — Scanned from DE
Form analysis 1 forms found in the DOM
POST /Home/SaveOnlineForm
<form action="/Home/SaveOnlineForm" class="" id="onlineform" method="post" novalidate="novalidate">
<div class="container modal-replace">
<div class="row">
<div class="col-md-offset-2 col-md-8 col-xs-12">
<p style="text-align: center;">
<strong>You’re almost here!</strong>
</p>
<p style="text-align: center;"> Getting to Bermuda has never been easier! We invite you to complete the digital Bermuda Arrival Card prior to your arrival on the island. The form will take less than 2-minutes to complete and it will get you
through the airport faster. Once you complete the form you will have an opportunity to download it right away. You will also receive the form by email. </p>
<p style="text-align: center;">
<strong>NOTE:</strong> All visitors arriving by air or yacht should complete this form.
</p>
<p style="text-align: center;"> For questions about the form, please contact <a href="mailto:ArrivalCard@bermudatourism.com">ArrivalCard@bermudatourism.com</a>
</p>
<p style="text-align: center;"> Please review our <a href="https://www.gotobermuda.com/bta/bermuda-arrival-card-privacy-notice" target="_blank">privacy policy</a>. </p>
</div>
</div>
<div class="row">
<div class="alert alert-warning" style="text-align: center;"> Visitors arriving via Cruise are not required to complete the below form. </div>
</div>
<div class="row" style="padding-top: 3rem;">
<div class="col-md-offset-3 col-md-6 col-xs-12 form-horizontal">
<div class="form-group">
<label class="col-md-4 control-label" for="FirstName">First Name</label>
<div class="col-md-8 col-xs-12 input-group">
<input class="form-control input-sm" data-val="true" data-val-required="Required field" id="FirstName" name="FirstName" placeholder="Enter your first name." tabindex="10" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="MiddleName">Middle Initial</label>
<div class="col-md-8 input-group">
<input class="form-control input-sm" id="MiddleName" maxlength="1" name="MiddleName" style="width: 32px" tabindex="20" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="MiddleName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group ">
<label class="col-md-4 control-label" for="LastName">Last Name</label>
<div class="col-md-8 col-xs-12 input-group">
<input class="form-control input-sm " data-val="true" data-val-required="Required field" id="LastName" name="LastName" placeholder="Enter your last name." tabindex="30" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group ">
<label class="col-md-4 control-label " for="Gender">Gender</label>
<div class="col-md-8 col-xs-12 input-group">
<div class="form-group">
<div class="radio-inline" style="padding-top: 0px;">
<input class="input-sm" data-val="true" data-val-required="Required field" id="Gender" name="Gender" tabindex="40" type="radio" value="Female">
<label class="radio-inline" for="Female" style="">Female</label>
</div>
<div class="radio-inline" style="padding-top: 0px;">
<input class="input-sm" id="Gender" name="Gender" tabindex="50" type="radio" value="Male">
<label class="radio-inline" for="Male" style="">Male</label>
</div>
</div>
<span class="field-validation-valid text-danger" data-valmsg-for="Gender" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group ">
<label class="col-md-4 control-label" for="NationalityId">Citizenship Nationality</label>
<div class="col-md-8 col-xs-12 input-group">
<div class="select2-container form-control input-sm select-ex" id="s2id_NationalityId">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-1">Pick a country.</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen1" class="select2-offscreen">Citizenship Nationality</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-1" id="s2id_autogen1"
tabindex="60">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen1_search" class="select2-offscreen">Citizenship Nationality</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false"
class="select2-input" role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-1" id="s2id_autogen1_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-1"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-number="The field Citizenship Nationality must be a number." data-val-required="Required field" id="NationalityId" name="NationalityId"
placeholder="Pick a country." tabindex="-1" title="Citizenship Nationality" style="display: none;">
<option></option>
<option value="586">Bermuda</option>
<option value="1">United States</option>
<option value="3">UK</option>
<option value="2">Canada</option>
<option value="40">Afghanistan</option>
<option value="533">Albania</option>
<option value="457">Algeria</option>
<option value="559">American Samoa</option>
<option value="534">Andorra</option>
<option value="458">Angola</option>
<option value="518">Anguilla</option>
<option value="519">Antigua and Barbuda</option>
<option value="59">Argentina</option>
<option value="535">Armenia</option>
<option value="520">Aruba</option>
<option value="10">Australia</option>
<option value="11">Austria</option>
<option value="536">Azerbaijan</option>
<option value="555">Bahrain</option>
<option value="41">Bangladesh</option>
<option value="67">Barbados</option>
<option value="27">Belarus</option>
<option value="102">Belgium</option>
<option value="55">Belize</option>
<option value="459">Benin</option>
<option value="503">Bhutan</option>
<option value="573">Bolivia</option>
<option value="28">Bosnia and Herzegovina</option>
<option value="460">Botswana</option>
<option value="60">Brazil</option>
<option value="73">British Virgin Islands</option>
<option value="504">Brunei Darussalam</option>
<option value="29">Bulgaria</option>
<option value="461">Burkina Faso</option>
<option value="462">Burundi</option>
<option value="505">Cambodia</option>
<option value="463">Cameroon</option>
<option value="464">Cape Verde</option>
<option value="72">Cayman Islands</option>
<option value="465">Central African Republic</option>
<option value="466">Chad</option>
<option value="61">Chile</option>
<option value="42">China</option>
<option value="574">Colombia</option>
<option value="467">Comoros</option>
<option value="56">Costa Rica</option>
<option value="470">Côte d'Ivoire</option>
<option value="537">Croatia</option>
<option value="521">Cuba</option>
<option value="538">Cyprus</option>
<option value="16">Czech Republic</option>
<option value="469">Democratic Republic of Congo</option>
<option value="98">Denmark</option>
<option value="471">Djibouti</option>
<option value="522">Dominica</option>
<option value="68">Dominican Republic</option>
<option value="62">Ecuador</option>
<option value="31">Egypt</option>
<option value="575">El Salvador</option>
<option value="472">Equatorial Guinea</option>
<option value="473">Eritrea</option>
<option value="539">Estonia</option>
<option value="32">Ethiopia</option>
<option value="576">Falkland Islands</option>
<option value="540">Faroe Islands</option>
<option value="92">Fiji</option>
<option value="103">Finland</option>
<option value="4">France</option>
<option value="474">French Guiana</option>
<option value="560">French Polynesia</option>
<option value="475">Gabon</option>
<option value="476">Gambia</option>
<option value="541">Georgia</option>
<option value="5">Germany</option>
<option value="33">Ghana</option>
<option value="585">Gibraltar</option>
<option value="542">Greece</option>
<option value="543">Greenland</option>
<option value="523">Grenada</option>
<option value="524">Guadeloupe</option>
<option value="561">Guam</option>
<option value="577">Guatemala</option>
<option value="477">Guinea</option>
<option value="478">Guinea-Bissau</option>
<option value="578">Guyana</option>
<option value="525">Haiti</option>
<option value="579">Honduras</option>
<option value="544">Hungary</option>
<option value="545">Iceland</option>
<option value="49">India</option>
<option value="43">Indonesia</option>
<option value="82">Iran</option>
<option value="83">Iraq</option>
<option value="17">Ireland</option>
<option value="84">Israel</option>
<option value="6">Italy</option>
<option value="69">Jamaica</option>
<option value="8">Japan</option>
<option value="85">Jordan</option>
<option value="77">Kazakhstan</option>
<option value="34">Kenya</option>
<option value="562">Kiribati</option>
<option value="86">Kuwait</option>
<option value="506">Kyrgyzstan</option>
<option value="507">Lao PDR</option>
<option value="546">Latvia</option>
<option value="87">Lebanon</option>
<option value="479">Lesotho</option>
<option value="480">Liberia</option>
<option value="481">Libya</option>
<option value="547">Liechtenstein</option>
<option value="548">Lithuania</option>
<option value="18">Luxembourg</option>
<option value="549">Macedonia</option>
<option value="482">Madagascar</option>
<option value="483">Malawi</option>
<option value="508">Malaysia</option>
<option value="509">Maldives</option>
<option value="484">Mali</option>
<option value="19">Malta</option>
<option value="93">Marshall Islands</option>
<option value="526">Martinique</option>
<option value="485">Mauritania</option>
<option value="486">Mauritius</option>
<option value="54">Mexico</option>
<option value="94">Micronesia</option>
<option value="550">Moldova</option>
<option value="20">Monaco</option>
<option value="510">Mongolia</option>
<option value="21">Montenegro</option>
<option value="527">Montserrat</option>
<option value="487">Morocco</option>
<option value="488">Mozambique</option>
<option value="511">Myanmar</option>
<option value="512">Namibia</option>
<option value="563">Nauru</option>
<option value="513">Nepal</option>
<option value="22">Netherlands</option>
<option value="528">Netherlands Antilles</option>
<option value="564">New Caledonia</option>
<option value="95">New Zealand</option>
<option value="580">Nicaragua</option>
<option value="489">Niger</option>
<option value="35">Nigeria</option>
<option value="565">Northern Mariana Islands</option>
<option value="101">Norway</option>
<option value="556">Oman</option>
<option value="50">Pakistan</option>
<option value="566">Palau</option>
<option value="57">Panama</option>
<option value="96">Papua New Guinea</option>
<option value="63">Paraguay</option>
<option value="64">Peru</option>
<option value="45">Philippines</option>
<option value="567">Pitcairn</option>
<option value="99">Poland</option>
<option value="23">Portugal</option>
<option value="529">Puerto Rico</option>
<option value="88">Qatar</option>
<option value="468">Republic of Congo</option>
<option value="104">Romania</option>
<option value="572">Russian Federation</option>
<option value="490">Rwanda</option>
<option value="70">Saint Kitts and Nevis</option>
<option value="530">Saint Lucia</option>
<option value="532">Saint Vincent and the Grenadines</option>
<option value="531">Saint-Martin</option>
<option value="568">Samoa</option>
<option value="551">San Marino</option>
<option value="491">Sao Tome and Principe</option>
<option value="89">Saudi Arabia</option>
<option value="36">Senegal</option>
<option value="552">Serbia</option>
<option value="492">Seychelles</option>
<option value="493">Sierra Leone</option>
<option value="46">Singapore</option>
<option value="105">Slovakia</option>
<option value="553">Slovenia</option>
<option value="569">Solomon Islands</option>
<option value="494">Somalia</option>
<option value="37">South Africa</option>
<option value="44">South Korea</option>
<option value="495">South Sudan</option>
<option value="24">Spain</option>
<option value="51">Sri Lanka</option>
<option value="496">Sudan</option>
<option value="581">Suriname</option>
<option value="497">Swaziland</option>
<option value="12">Sweden</option>
<option value="13">Switzerland</option>
<option value="557">Syria</option>
<option value="514">Taiwan</option>
<option value="515">Tajikistan</option>
<option value="498">Tanzania</option>
<option value="47">Thailand</option>
<option value="66">The Bahamas</option>
<option value="516">Timor-Leste</option>
<option value="499">Togo</option>
<option value="570">Tonga</option>
<option value="71">Trinidad and Tobago</option>
<option value="500">Tunisia</option>
<option value="78">Turkey</option>
<option value="79">Turkmenistan</option>
<option value="75">Turks & Caicos</option>
<option value="571">Tuvalu</option>
<option value="501">Uganda</option>
<option value="554">Ukraine</option>
<option value="90">United Arab Emirates</option>
<option value="65">Uruguay</option>
<option value="583">US Minor Outlying Islands</option>
<option value="74">US Virgin Islands</option>
<option value="80">Uzbekistan</option>
<option value="582">Vanuatu</option>
<option value="584">Venezuela</option>
<option value="517">Vietnam</option>
<option value="558">Yemen</option>
<option value="502">Zambia</option>
<option value="38">Zimbabwe</option>
<option value="14">UNCERTAIN</option>
<option value="9">Rest of the World</option>
</select>
<span class="field-validation-valid text-danger" data-valmsg-for="NationalityId" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group ">
<label class="col-md-4 control-label" for="PassportNumber">Passport Number</label>
<div class="col-md-8 col-xs-12 input-group">
<input class="form-control input-sm" data-val="true" data-val-required="You need to enter passport number." id="PassportNumber" maxlength="50" name="PassportNumber" tabindex="70" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="PassportNumber" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group combodate-narrow">
<label class="col-md-4 control-label" for="PassportExpiry">Passport Expiration Date</label>
<div class="col-md-8 col-xs-12 input-group">
<input value="" class="form-control input-sm no-eager-validation" data-format="MM/DD/YYYY" data-template="MMMMDDYYYY" data-val="true" data-val-date="The field Passport Expiration Date must be a date."
data-val-datemustbeequalorgreaterthancurrentdate="Passport Expiration Date cannot be in the past." data-val-required="You need to enter Expiration Date" id="PassportExpiry" name="PassportExpiry" tabindex="80" type="text"
style="display: none;"><span class="combodate"><select class="month " tabindex="81" style="width: auto;">
<option value=""></option>
<option value="0">January</option>
<option value="1">February</option>
<option value="2">March</option>
<option value="3">April</option>
<option value="4">May</option>
<option value="5">June</option>
<option value="6">July</option>
<option value="7">August</option>
<option value="8">September</option>
<option value="9">October</option>
<option value="10">November</option>
<option value="11">December</option>
</select><select class="day " tabindex="82" style="width: auto;">
<option value=""></option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select><select class="year " tabindex="83" style="width: auto;">
<option value=""></option>
<option value="2048">2048</option>
<option value="2047">2047</option>
<option value="2046">2046</option>
<option value="2045">2045</option>
<option value="2044">2044</option>
<option value="2043">2043</option>
<option value="2042">2042</option>
<option value="2041">2041</option>
<option value="2040">2040</option>
<option value="2039">2039</option>
<option value="2038">2038</option>
<option value="2037">2037</option>
<option value="2036">2036</option>
<option value="2035">2035</option>
<option value="2034">2034</option>
<option value="2033">2033</option>
<option value="2032">2032</option>
<option value="2031">2031</option>
<option value="2030">2030</option>
<option value="2029">2029</option>
<option value="2028">2028</option>
<option value="2027">2027</option>
<option value="2026">2026</option>
<option value="2025">2025</option>
<option value="2024">2024</option>
<option value="2023">2023</option>
</select></span>
<span class="field-validation-valid text-danger" data-valmsg-for="PassportExpiry" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="Email">Email Address</label>
<div class="col-md-8">
<input class="form-control input-sm" data-val="true" data-val-email="The Email Address field is not a valid e-mail address." data-val-required="Required field" id="Email" name="Email" tabindex="90" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="Email" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="DoB">Date of Birth</label>
<div class="col-md-8">
<input value="" class="form-control input-sm no-eager-validation" data-format="MM/DD/YYYY" data-template="MMMMDDYYYY" data-val="true" data-val-date="The field Date of Birth must be a date."
data-val-datemustbeequalorlessthancurrentdate="Date of Birth cannot be in the future." data-val-required="Required field" id="DoB" name="DoB" tabindex="100" type="text" style="display: none;"><span class="combodate"><select
class="month " tabindex="101" style="width: auto;">
<option value=""></option>
<option value="0">January</option>
<option value="1">February</option>
<option value="2">March</option>
<option value="3">April</option>
<option value="4">May</option>
<option value="5">June</option>
<option value="6">July</option>
<option value="7">August</option>
<option value="8">September</option>
<option value="9">October</option>
<option value="10">November</option>
<option value="11">December</option>
</select><select class="day " tabindex="102" style="width: auto;">
<option value=""></option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select><select class="year " tabindex="103" style="width: auto;">
<option value=""></option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
<option value="1903">1903</option>
<option value="1902">1902</option>
<option value="1901">1901</option>
<option value="1900">1900</option>
</select></span>
<span class="field-validation-valid text-danger" data-valmsg-for="DoB" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="ArrivalDt">Arrival Date</label>
<div class="col-md-8">
<input value="" class="form-control input-sm no-eager-validation" data-format="MM/DD/YYYY" data-template="MMMMDDYYYY" data-val="true" data-val-date="The field Arrival Date must be a date."
data-val-datemustbeequalorgreaterthancurrentdate="Arrival Date cannot be in the past." data-val-required="Arrival Date is required" id="ArrivalDt" name="ArrivalDt" tabindex="110" type="text" style="display: none;"><span
class="combodate"><select class="month " tabindex="111" style="width: auto;">
<option value=""></option>
<option value="0">January</option>
<option value="1">February</option>
<option value="2">March</option>
<option value="3">April</option>
<option value="4">May</option>
<option value="5">June</option>
<option value="6">July</option>
<option value="7">August</option>
<option value="8">September</option>
<option value="9">October</option>
<option value="10">November</option>
<option value="11">December</option>
</select><select class="day " tabindex="112" style="width: auto;">
<option value=""></option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select><select class="year " tabindex="113" style="width: auto;">
<option value=""></option>
<option value="2024">2024</option>
<option value="2023">2023</option>
</select></span>
<span class="field-validation-valid text-danger" data-valmsg-for="ArrivalDt" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="CarrierGroupId">Arrival Method</label>
<div class="col-md-8 col-xs-12">
<div class="select2-container form-control input-sm select-ex" id="s2id_CarrierGroupId">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-2"></span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen2" class="select2-offscreen">Arrival Method</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-2" id="s2id_autogen2" tabindex="112">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen2_search" class="select2-offscreen">Arrival Method</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-2" id="s2id_autogen2_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-2"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-required="Required field" id="CarrierGroupId" name="CarrierGroupId" tabindex="-1" title="Arrival Method" style="display: none;">
<option></option>
<option value="5">Cruise</option>
<option value="1">Commercial Flight</option>
<option value="2">Private Jet</option>
<option value="3">Yacht</option>
</select>
<span class="field-validation-valid text-danger" data-valmsg-for="CarrierGroupId" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group" style="display: none;">
<label class="col-md-4 control-label" for="Carrier">Flight Number</label>
<div class="col-md-8 col-xs-12">
<div class="select2-container form-control input-sm select-ex" id="s2id_Carrier">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-3"></span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen3" class="select2-offscreen">Flight Number</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-3" id="s2id_autogen3" tabindex="115">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen3_search" class="select2-offscreen">Flight Number</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-3" id="s2id_autogen3_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-3"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-required="Required field" id="Carrier" name="Carrier" tabindex="-1" title="Flight Number" style="display: none;">
<option></option>
</select>
<span class="field-validation-valid text-danger" data-valmsg-for="Carrier" data-valmsg-replace="true"></span>
</div>
</div>
<hr>
<div class="form-group">
<label class="col-md-4 control-label">Home Address</label>
<div class="col-md-8">
<input class="form-control input-sm pac-target-input" id="HomeAddressAutocomplete" name="HomeAddressAutocomplete" placeholder="Start typing your home address" tabindex="130" type="text" value="" autocomplete="off">
<small><i class="fa fa-question-circle"></i> Google will try to find your address as you type, but it’s also possible to enter it manually.</small>
</div>
</div>
<hr>
<div class="form-group">
<label class="col-md-4 control-label" for="CountryId">Country</label>
<div class="col-md-8">
<div class="select2-container form-control input-sm select-ex" id="s2id_CountryId">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-4">Pick your country</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen4" class="select2-offscreen">Country</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-4" id="s2id_autogen4" tabindex="140">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen4_search" class="select2-offscreen">Country</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-4" id="s2id_autogen4_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-4"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-number="The field Country must be a number." data-val-required="Required field" id="CountryId" name="CountryId" placeholder="Pick your country" tabindex="-1"
title="Country" style="display: none;">
<option></option>
<option value="586">Bermuda</option>
<option value="1">United States</option>
<option value="3">UK</option>
<option value="2">Canada</option>
<option value="40">Afghanistan</option>
<option value="533">Albania</option>
<option value="457">Algeria</option>
<option value="559">American Samoa</option>
<option value="534">Andorra</option>
<option value="458">Angola</option>
<option value="518">Anguilla</option>
<option value="519">Antigua and Barbuda</option>
<option value="59">Argentina</option>
<option value="535">Armenia</option>
<option value="520">Aruba</option>
<option value="10">Australia</option>
<option value="11">Austria</option>
<option value="536">Azerbaijan</option>
<option value="555">Bahrain</option>
<option value="41">Bangladesh</option>
<option value="67">Barbados</option>
<option value="27">Belarus</option>
<option value="102">Belgium</option>
<option value="55">Belize</option>
<option value="459">Benin</option>
<option value="503">Bhutan</option>
<option value="573">Bolivia</option>
<option value="28">Bosnia and Herzegovina</option>
<option value="460">Botswana</option>
<option value="60">Brazil</option>
<option value="73">British Virgin Islands</option>
<option value="504">Brunei Darussalam</option>
<option value="29">Bulgaria</option>
<option value="461">Burkina Faso</option>
<option value="462">Burundi</option>
<option value="505">Cambodia</option>
<option value="463">Cameroon</option>
<option value="464">Cape Verde</option>
<option value="72">Cayman Islands</option>
<option value="465">Central African Republic</option>
<option value="466">Chad</option>
<option value="61">Chile</option>
<option value="42">China</option>
<option value="574">Colombia</option>
<option value="467">Comoros</option>
<option value="56">Costa Rica</option>
<option value="470">Côte d'Ivoire</option>
<option value="537">Croatia</option>
<option value="521">Cuba</option>
<option value="538">Cyprus</option>
<option value="16">Czech Republic</option>
<option value="469">Democratic Republic of Congo</option>
<option value="98">Denmark</option>
<option value="471">Djibouti</option>
<option value="522">Dominica</option>
<option value="68">Dominican Republic</option>
<option value="62">Ecuador</option>
<option value="31">Egypt</option>
<option value="575">El Salvador</option>
<option value="472">Equatorial Guinea</option>
<option value="473">Eritrea</option>
<option value="539">Estonia</option>
<option value="32">Ethiopia</option>
<option value="576">Falkland Islands</option>
<option value="540">Faroe Islands</option>
<option value="92">Fiji</option>
<option value="103">Finland</option>
<option value="4">France</option>
<option value="474">French Guiana</option>
<option value="560">French Polynesia</option>
<option value="475">Gabon</option>
<option value="476">Gambia</option>
<option value="541">Georgia</option>
<option value="5">Germany</option>
<option value="33">Ghana</option>
<option value="585">Gibraltar</option>
<option value="542">Greece</option>
<option value="543">Greenland</option>
<option value="523">Grenada</option>
<option value="524">Guadeloupe</option>
<option value="561">Guam</option>
<option value="577">Guatemala</option>
<option value="477">Guinea</option>
<option value="478">Guinea-Bissau</option>
<option value="578">Guyana</option>
<option value="525">Haiti</option>
<option value="579">Honduras</option>
<option value="544">Hungary</option>
<option value="545">Iceland</option>
<option value="49">India</option>
<option value="43">Indonesia</option>
<option value="82">Iran</option>
<option value="83">Iraq</option>
<option value="17">Ireland</option>
<option value="84">Israel</option>
<option value="6">Italy</option>
<option value="69">Jamaica</option>
<option value="8">Japan</option>
<option value="85">Jordan</option>
<option value="77">Kazakhstan</option>
<option value="34">Kenya</option>
<option value="562">Kiribati</option>
<option value="86">Kuwait</option>
<option value="506">Kyrgyzstan</option>
<option value="507">Lao PDR</option>
<option value="546">Latvia</option>
<option value="87">Lebanon</option>
<option value="479">Lesotho</option>
<option value="480">Liberia</option>
<option value="481">Libya</option>
<option value="547">Liechtenstein</option>
<option value="548">Lithuania</option>
<option value="18">Luxembourg</option>
<option value="549">Macedonia</option>
<option value="482">Madagascar</option>
<option value="483">Malawi</option>
<option value="508">Malaysia</option>
<option value="509">Maldives</option>
<option value="484">Mali</option>
<option value="19">Malta</option>
<option value="93">Marshall Islands</option>
<option value="526">Martinique</option>
<option value="485">Mauritania</option>
<option value="486">Mauritius</option>
<option value="54">Mexico</option>
<option value="94">Micronesia</option>
<option value="550">Moldova</option>
<option value="20">Monaco</option>
<option value="510">Mongolia</option>
<option value="21">Montenegro</option>
<option value="527">Montserrat</option>
<option value="487">Morocco</option>
<option value="488">Mozambique</option>
<option value="511">Myanmar</option>
<option value="512">Namibia</option>
<option value="563">Nauru</option>
<option value="513">Nepal</option>
<option value="22">Netherlands</option>
<option value="528">Netherlands Antilles</option>
<option value="564">New Caledonia</option>
<option value="95">New Zealand</option>
<option value="580">Nicaragua</option>
<option value="489">Niger</option>
<option value="35">Nigeria</option>
<option value="565">Northern Mariana Islands</option>
<option value="101">Norway</option>
<option value="556">Oman</option>
<option value="50">Pakistan</option>
<option value="566">Palau</option>
<option value="57">Panama</option>
<option value="96">Papua New Guinea</option>
<option value="63">Paraguay</option>
<option value="64">Peru</option>
<option value="45">Philippines</option>
<option value="567">Pitcairn</option>
<option value="99">Poland</option>
<option value="23">Portugal</option>
<option value="529">Puerto Rico</option>
<option value="88">Qatar</option>
<option value="468">Republic of Congo</option>
<option value="104">Romania</option>
<option value="572">Russian Federation</option>
<option value="490">Rwanda</option>
<option value="70">Saint Kitts and Nevis</option>
<option value="530">Saint Lucia</option>
<option value="532">Saint Vincent and the Grenadines</option>
<option value="531">Saint-Martin</option>
<option value="568">Samoa</option>
<option value="551">San Marino</option>
<option value="491">Sao Tome and Principe</option>
<option value="89">Saudi Arabia</option>
<option value="36">Senegal</option>
<option value="552">Serbia</option>
<option value="492">Seychelles</option>
<option value="493">Sierra Leone</option>
<option value="46">Singapore</option>
<option value="105">Slovakia</option>
<option value="553">Slovenia</option>
<option value="569">Solomon Islands</option>
<option value="494">Somalia</option>
<option value="37">South Africa</option>
<option value="44">South Korea</option>
<option value="495">South Sudan</option>
<option value="24">Spain</option>
<option value="51">Sri Lanka</option>
<option value="496">Sudan</option>
<option value="581">Suriname</option>
<option value="497">Swaziland</option>
<option value="12">Sweden</option>
<option value="13">Switzerland</option>
<option value="557">Syria</option>
<option value="514">Taiwan</option>
<option value="515">Tajikistan</option>
<option value="498">Tanzania</option>
<option value="47">Thailand</option>
<option value="66">The Bahamas</option>
<option value="516">Timor-Leste</option>
<option value="499">Togo</option>
<option value="570">Tonga</option>
<option value="71">Trinidad and Tobago</option>
<option value="500">Tunisia</option>
<option value="78">Turkey</option>
<option value="79">Turkmenistan</option>
<option value="75">Turks & Caicos</option>
<option value="571">Tuvalu</option>
<option value="501">Uganda</option>
<option value="554">Ukraine</option>
<option value="90">United Arab Emirates</option>
<option value="65">Uruguay</option>
<option value="583">US Minor Outlying Islands</option>
<option value="74">US Virgin Islands</option>
<option value="80">Uzbekistan</option>
<option value="582">Vanuatu</option>
<option value="584">Venezuela</option>
<option value="517">Vietnam</option>
<option value="558">Yemen</option>
<option value="502">Zambia</option>
<option value="38">Zimbabwe</option>
<option value="14">UNCERTAIN</option>
<option value="9">Rest of the World</option>
</select>
<span class="field-validation-valid text-danger" data-valmsg-for="CountryId" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="Address_1">Address Line 1</label>
<div class="col-md-8">
<input class="form-control input-sm" data-val="true" data-val-length="Maximum 250 characters" data-val-length-max="250" data-val-length-min="1" data-val-required="Required field" id="Address_1" name="Address_1" tabindex="150" type="text"
value="">
<span class="field-validation-valid text-danger" data-valmsg-for="Address_1" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="Address_2">Address Line 2</label>
<div class="col-md-8">
<input class="form-control input-sm" data-val="true" data-val-length="Maximum 250 characters" data-val-length-max="250" data-val-length-min="1" id="Address_2" name="Address_2" tabindex="160" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="Address_2" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="CityName">City</label>
<div class="col-md-8">
<input class="form-control input-sm" data-val="true" data-val-required="Required field" id="CityName" name="CityName" tabindex="170" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="CityName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="CountyId" style="display: none;">CountyId</label>
<label class="col-md-4 control-label" for="CountyNameOther" style="display: none;">Region</label>
<div class="col-md-8">
<div class="select2-container form-control input-sm select-ex" id="s2id_CountyId" style="display: none;">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-5">Pick your state/province</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen5" class="select2-offscreen">CountyId</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-5" id="s2id_autogen5" tabindex="19">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen5_search" class="select2-offscreen">CountyId</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-5" id="s2id_autogen5_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-5"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-number="The field CountyId must be a number." id="CountyId" name="CountyId" placeholder="Pick your state/province" tabindex="-1" title="CountyId"
style="display: none;">
<option></option>
<option value="76">Aberdeen</option>
<option value="1">ALABAMA </option>
<option value="2">ALASKA </option>
<option value="3">ARIZONA </option>
<option value="4">ARKANSAS </option>
<option value="79">Bath</option>
<option value="87">Belfast</option>
<option value="78">Birmingham</option>
<option value="80">Blackburn</option>
<option value="113">Blackpool</option>
<option value="83">Bolton</option>
<option value="82">Bournemouth</option>
<option value="81">Bradford</option>
<option value="84">Brighton</option>
<option value="86">Bristol</option>
<option value="85">Bromley</option>
<option value="5">CALIFORNIA</option>
<option value="89">Cambridge</option>
<option value="95">Canterbury</option>
<option value="90">Cardiff</option>
<option value="88">Carlisle</option>
<option value="92">Chelmsford</option>
<option value="91">Chester</option>
<option value="183">Cleveland</option>
<option value="93">Colchester</option>
<option value="6">COLORADO </option>
<option value="7">CONNECTICUT</option>
<option value="96">Coventry</option>
<option value="97">Crewe</option>
<option value="94">Croydon</option>
<option value="103">Darlington</option>
<option value="98">Dartford</option>
<option value="8">DELAWARE </option>
<option value="100">Derby</option>
<option value="9">DISTRICT OF COLUMBIA</option>
<option value="104">Doncaster</option>
<option value="105">Dorchester</option>
<option value="106">Dudley</option>
<option value="101">Dumfries</option>
<option value="99">Dundee</option>
<option value="102">Durham</option>
<option value="108">East Central London</option>
<option value="107">East London</option>
<option value="109">Edinburgh</option>
<option value="110">Enfield</option>
<option value="111">Exeter</option>
<option value="112">Falkirk</option>
<option value="10">FLORIDA </option>
<option value="178">Galashiels</option>
<option value="11">GEORGIA </option>
<option value="114">Glasgow</option>
<option value="115">Gloucester</option>
<option value="57">GUAM </option>
<option value="197">Guernsey</option>
<option value="116">Guildford</option>
<option value="124">Halifax</option>
<option value="119">Harrogate</option>
<option value="117">Harrow</option>
<option value="12">HAWAII </option>
<option value="120">Hemel Hempstead</option>
<option value="121">Hereford</option>
<option value="200">Hertfordshire</option>
<option value="118">Huddersfield</option>
<option value="123">Hull</option>
<option value="13">IDAHO </option>
<option value="125">Ilford</option>
<option value="14">ILLINOIS </option>
<option value="15">INDIANA </option>
<option value="127">Inverness</option>
<option value="16">IOWA </option>
<option value="126">Ipswich</option>
<option value="199">Isle of Man</option>
<option value="198">Jersey</option>
<option value="17">KANSAS </option>
<option value="18">KENTUCKY </option>
<option value="128">Kilmarnock</option>
<option value="129">Kingston upon Thames</option>
<option value="131">Kirkcaldy</option>
<option value="130">Kirkwall</option>
<option value="133">Lancaster</option>
<option value="138">Leeds</option>
<option value="135">Leicester</option>
<option value="196">Lerwick</option>
<option value="137">Lincoln</option>
<option value="132">Liverpool</option>
<option value="134">Llandrindod Wells</option>
<option value="136">Llandudno</option>
<option value="19">LOUISIANA </option>
<option value="139">Luton</option>
<option value="20">MAINE </option>
<option value="58">MAJURO/EBEYE </option>
<option value="140">Manchester</option>
<option value="21">MARYLAND </option>
<option value="22">MASSACHUSETTS </option>
<option value="23">MICHIGAN </option>
<option value="53">MILITARY (AA) </option>
<option value="54">MILITARY (AE) </option>
<option value="55">MILITARY (AP) </option>
<option value="142">Milton Keynes</option>
<option value="24">MINNESOTA </option>
<option value="25">MISSISSIPPI </option>
<option value="26">MISSOURI </option>
<option value="27">MONTANA </option>
<option value="143">Motherwell</option>
<option value="28">NEBRASKA </option>
<option value="29">NEVADA </option>
<option value="30">NEW HAMPSHIRE </option>
<option value="31">NEW JERSEY </option>
<option value="32">NEW MEXICO </option>
<option value="33">NEW YORK </option>
<option value="145">Newcastle upon Tyne</option>
<option value="148">Newport</option>
<option value="34">NORTH CAROLINA </option>
<option value="35">NORTH DAKOTA </option>
<option value="144">North London</option>
<option value="150">North West London</option>
<option value="147">Northampton</option>
<option value="149">Norwich</option>
<option value="146">Nottingham</option>
<option value="36">OHIO </option>
<option value="37">OKLAHOMA </option>
<option value="151">Oldham</option>
<option value="69">ONTARIO </option>
<option value="38">OREGON </option>
<option value="122">Outer Hebrides</option>
<option value="152">Oxford</option>
<option value="153">Paisley</option>
<option value="39">PENNSYLVANIA </option>
<option value="155">Perth</option>
<option value="154">Peterborough</option>
<option value="156">Plymouth</option>
<option value="56">POHNPEI/CHUUK/KOSRAE</option>
<option value="157">Portsmouth</option>
<option value="158">Preston</option>
<option value="60">PUERTO RICO </option>
<option value="71">QUEBEC </option>
<option value="159">Reading</option>
<option value="160">Redhill</option>
<option value="40">RHODE ISLAND </option>
<option value="141">Rochester</option>
<option value="161">Romford</option>
<option value="59">SAIPAN/ROTA MARIANA </option>
<option value="171">Salisbury</option>
<option value="162">Sheffield</option>
<option value="176">Shrewsbury</option>
<option value="167">Slough</option>
<option value="41">SOUTH CAROLINA </option>
<option value="42">SOUTH DAKOTA </option>
<option value="164">South East London</option>
<option value="175">South West London</option>
<option value="185">Southall</option>
<option value="170">Southampton</option>
<option value="173">Southend-on-Sea</option>
<option value="77">St Albans</option>
<option value="165">Stevenage</option>
<option value="166">Stockport</option>
<option value="174">Stoke-on-Trent</option>
<option value="172">Sunderland</option>
<option value="168">Sutton</option>
<option value="163">Swansea</option>
<option value="169">Swindon</option>
<option value="177">Taunton</option>
<option value="179">Telford</option>
<option value="43">TENNESSEE </option>
<option value="44">TEXAS </option>
<option value="181">Torquay</option>
<option value="182">Truro</option>
<option value="180">Tunbridge Wells</option>
<option value="184">Twickenham</option>
<option value="45">UTAH </option>
<option value="46">VERMONT </option>
<option value="61">VIRGIN ISLANDS (US) </option>
<option value="47">VIRGINIA </option>
<option value="190">Wakefield</option>
<option value="193">Walsall</option>
<option value="187">Warrington</option>
<option value="48">WASHINGTON </option>
<option value="189">Watford</option>
<option value="186">West London</option>
<option value="49">WEST VIRGINIA </option>
<option value="188">Western Central London</option>
<option value="191">Wigan</option>
<option value="50">WISCONSIN </option>
<option value="194">Wolverhampton</option>
<option value="192">Worcester</option>
<option value="51">WYOMING </option>
<option value="195">York</option>
<option value="66">NEWFOUNDLAND </option>
<option value="68">NOVA SCOTIA </option>
<option value="70">PRINCE EDWARD ISLAND</option>
<option value="65">NEW BRUNSWICK </option>
<option value="64">MANITOBA </option>
<option value="72">SASKATCHEWAN </option>
<option value="62">ALBERTA </option>
<option value="63">BRITISH COLUMBIA </option>
<option value="67">NORTHWEST TERRITORIES</option>
<option value="74">NUNAVUT</option>
<option value="73">YUKON </option>
</select>
<input class="form-control input-sm" id="CountyNameOther" name="CountyNameOther" tabindex="180" type="text" value="" style="display: none;">
<span class="field-validation-valid text-danger" data-valmsg-for="CountyId" data-valmsg-replace="true"></span>
<span class="field-validation-valid text-danger" data-valmsg-for="CountyNameOther" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="CityPostalCode">Zip/Postal Code</label>
<div class="col-md-8">
<input class="form-control input-sm" data-val="true" data-val-required="Required field" id="CityPostalCode" name="CityPostalCode" tabindex="190" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="CityPostalCode" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="FirstTrip">First Trip</label>
<div class="col-md-8">
<div class="form-group">
<div class="radio-inline" style="padding-top: 0px;">
<input class="radio-inline input-sm" data-val="true" data-val-required="Required field" id="FirstTrip" name="FirstTrip" tabindex="200" type="radio" value="true">
<label for="Yes" style="padding-right: 10px;">Yes</label>
</div>
<div class="radio-inline" style="padding-top: 0px;">
<input class="radio-inline input-sm" id="FirstTrip" name="FirstTrip" tabindex="210" type="radio" value="false">
<label for="No">No</label>
</div>
</div>
<span class="field-validation-valid text-danger" data-valmsg-for="FirstTrip" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="IntendedDays">Intended Stay # Nights</label>
<div class="col-md-8">
<input class="form-control input-sm" data-val="true" data-val-number="The field Intended Stay # Nights must be a number." data-val-range="The field Intended Stay # Nights must be between 1 and 180." data-val-range-max="180"
data-val-range-min="1" data-val-required="Required field" id="IntendedDays" name="IntendedDays" tabindex="220" type="text" value="">
<span class="field-validation-valid text-danger" data-valmsg-for="IntendedDays" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group ">
<label class="col-md-4 control-label" for="PurposeId">Purpose of Entry</label>
<div class="col-md-8 col-xs-12 input-group">
<div class="select2-container form-control input-sm select-ex" id="s2id_PurposeId">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-6">Select purpose of entry</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen6" class="select2-offscreen">Purpose of Entry</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-6" id="s2id_autogen6"
tabindex="230">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen6_search" class="select2-offscreen">Purpose of Entry</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-6" id="s2id_autogen6_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-6"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-number="The field Purpose of Entry must be a number." data-val-required="Required field" id="PurposeId" name="PurposeId" placeholder="Select purpose of entry"
tabindex="-1" title="Purpose of Entry" style="display: none;">
<option></option>
<option value="1">Vacation</option>
<option value="11">Destination Wedding</option>
<option value="19">Concert/ Festival/ Carnival</option>
<option value="17">Sports Events/ Training</option>
<option value="4">Business</option>
<option value="15">Incentive</option>
<option value="5">Conference/ Meeting</option>
<option value="20">Work from Bermuda 1 Year Residency Certificate</option>
<option value="2">Visiting Family & Friends Vacation</option>
<option value="12">Visiting Family & Friends Personal</option>
<option value="13">Study</option>
<option value="3">Other</option>
</select>
<span class="field-validation-valid text-danger" data-valmsg-for="PurposeId" data-valmsg-replace="true"></span>
</div>
</div>
<hr>
<div class="form-group">
<label class="col-md-4 control-label" for="AccommodationTypeId">Intended Address</label>
<div class="col-md-8 col-xs-12">
<div class="select2-container form-control input-sm select-ex" id="s2id_AccommodationTypeId">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-7"></span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen7" class="select2-offscreen">Intended Address</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-7" id="s2id_autogen7"
tabindex="240">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen7_search" class="select2-offscreen">Intended Address</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-7" id="s2id_autogen7_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-7"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-number="The field Intended Address must be a number." data-val-required="Required field" id="AccommodationTypeId" name="AccommodationTypeId" tabindex="-1"
title="Intended Address" style="display: none;">
<option></option>
<option value="1">Hotels or Similar</option>
<option value="8">Friends and Relatives</option>
<option value="10">Rental House/ Apartment (e.g. airbnb)</option>
<option value="5">Bed & Breakfast/ Guesthouse</option>
<option value="11">Private Homes</option>
<option value="12">Boat/Yacht/Superyacht</option>
<option value="14">Educational Institute</option>
<option value="9">Other</option>
</select>
<span class="field-validation-valid text-danger" data-valmsg-for="AccommodationTypeId" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group" style="display: none;">
<label class="col-md-4 control-label" for="AccommodationId">Accommodation Name</label>
<div class="col-md-8 col-xs-12">
<div class="select2-container form-control input-sm select-ex" id="s2id_AccommodationId">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-8"></span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen8" class="select2-offscreen">Accommodation Name</label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-8" id="s2id_autogen8"
tabindex="250">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen8_search" class="select2-offscreen">Accommodation Name</label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-8" id="s2id_autogen8_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-8"> </ul>
</div>
</div><select class="form-control input-sm select-ex" data-val="true" data-val-number="The field Accommodation Name must be a number." data-val-required="Required field" id="AccommodationId" name="AccommodationId" tabindex="-1"
title="Accommodation Name" style="display: none;">
<option></option>
<option value="47">Aunt Neas Inn at Hillcrest </option>
<option value="81">Azura Bermuda</option>
<option value="23">Blue Horizons</option>
<option value="25">Burch's Guest Apartments</option>
<option value="15">Cambridge Beaches Resort & Spa</option>
<option value="26">Clairfont Apartments</option>
<option value="5">Coco Reef Bermuda</option>
<option value="16">Coral Beach & Tennis Club</option>
<option value="68">Cruise Ship</option>
<option value="27">Dawkins Manor</option>
<option value="41">Edgehill Manor Guest House</option>
<option value="17">Fourways Inn & Cottages</option>
<option value="28">Garden House</option>
<option value="43">Granaway Guest House & Cottage</option>
<option value="30">Greenbank & Cottages</option>
<option value="44">Greene's Guest House</option>
<option value="61">Grotto Bay Beach Resort & Tennis Club</option>
<option value="60">Hamilton Princess</option>
<option value="45">Little Pomander Guest House</option>
<option value="19">Mid Ocean Club</option>
<option value="33">Munro Beach Cottages</option>
<option value="7">Newstead Belmont Hills Golf Resort and Spa</option>
<option value="58">Other</option>
<option value="76">Owned Fractional Unit/Condo/Home</option>
<option value="48">Oxford House</option>
<option value="35">Paraquet Guest Apartments</option>
<option value="8">Pompano Beach Club</option>
<option value="80">Private Home</option>
<option value="63">Rental House/ Apartment (e.g. airbnb)</option>
<option value="36">Robins Nest</option>
<option value="9">Rosedon</option>
<option value="37">Rosemont</option>
<option value="13">Rosewood Tuckers Point Hotel & Spa</option>
<option value="10">Royal Palms Hotel & Restaurant</option>
<option value="38">Sandpiper Apartments</option>
<option value="39">Sound View Cottages</option>
<option value="82">St. Regis Bermuda Resort</option>
<option value="20">The Loren at Pink Beach</option>
<option value="12">The Reefs</option>
<option value="21">The St. Georges Club</option>
<option value="57">Unknown</option>
<option value="55">Valley Cottages & Apartments</option>
<option value="22">Willowbank Resort</option>
<option value="69">BIOS</option>
<option value="70">Inverurie Executive Suites</option>
<option value="75">Kingston House Bed & Breakfast</option>
<option value="65">Other Hotel</option>
<option value="74">Royal Bermuda Yacht Club</option>
<option value="83">Viking (Orion)</option>
<option value="67">Yacht</option>
<option value="64">Friends and Relatives</option>
<option value="66">Other B&B/Guesthouse</option>
<option value="84">Superyacht</option>
<option value="71">Tug Boat</option>
<option value="78">Bermuda Regiment/ Warwick Camp/ Barracks</option>
<option value="79">National Museum of Bermuda</option>
<option value="73">Windsong</option>
<option value="72">Other Boat</option>
</select>
<span class="field-validation-valid text-danger" data-valmsg-for="AccommodationId" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group" style="display: none;">
<label class="col-md-4 control-label" for="AccommodationAddress">Accommodation Address</label>
<div class="col-md-8 col-xs-12">
<textarea class="form-control input-sm ignore" cols="20" data-val="true" data-val-length="Maximum 200 characters allowed for Accommodation Address" data-val-length-max="200" data-val-required="The Accommodation Address field is required."
id="AccommodationAddress" name="AccommodationAddress" rows="2" tabindex="260"></textarea>
<span class="field-validation-valid text-danger" data-valmsg-for="AccommodationAddress" data-valmsg-replace="true"></span>
</div>
</div>
<hr>
<div class="form-group">
<div class="col-md-12">
<input data-val="true" data-val-required="The Opt-in field is required." id="OptInExclusive" name="OptInExclusive" tabindex="270" type="checkbox" value="true"><input name="OptInExclusive" type="hidden" value="false">
<span> YES, Please add me. I consent to Bermuda Tourism contacting me about special offers, promotions and information about Bermuda Tourism and its selected promoters. All data will be held and processed in accordance with our privacy
policy. </span>
<span class="field-validation-valid text-danger" data-valmsg-for="OptInExclusive" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<div class="col-md-12">
<input data-val="true" data-val-mandatory="You must agree to the Terms to register." data-val-required="The Confirmation field is required." id="Confirmation" name="Confirmation" tabindex="280" type="checkbox" value="true"><input
name="Confirmation" type="hidden" value="false">
<span> I hereby declare that the information provided is true and correct. </span><br>
<span class="field-validation-valid text-danger" data-valmsg-for="Confirmation" data-valmsg-replace="true"></span>
</div>
</div>
<div class="form-group">
<div class="col-md-12">
<a href="https://www.gotobermuda.com/bta/bermuda-arrival-card-privacy-notice" target="_blank">Terms of Use & Privacy</a>
</div>
</div>
<div class="form-group">
<div class="col-md-12">
<p>For technical support or to report a problem, please contact <a href="mailto:ArrivalCard@bermudatourism.com">ArrivalCard@bermudatourism.com</a></p>
</div>
</div>
</div>
</div>
</div>
<div class="col-md-offset-3 col-md-6 col-xs-12 modal-footer">
<span class="field-validation-valid text-danger" data-valmsg-for="Recaptcha" data-valmsg-replace="true"></span>
<div id="recaptcha" class="g-recaptcha" data-sitekey="6LfMMmUUAAAAAM1iKMBT1l7YHrukUyZfhhTHPujL" data-callback="SubmitOnlineForm" data-tabindex="290" data-badge="inline" data-size="invisible">
<div class="grecaptcha-badge" data-style="inline" style="width: 256px; height: 60px; box-shadow: gray 0px 0px 5px;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LfMMmUUAAAAAM1iKMBT1l7YHrukUyZfhhTHPujL&co=aHR0cHM6Ly93d3cuYmVybXVkYWFycml2YWxjYXJkLmNvbTo0NDM.&hl=de&v=Ai7lOI0zKMDPHxlv62g7oMoJ&size=invisible&badge=inline&cb=2hu01m3esr8w"
width="256" height="60" role="presentation" name="a-roh3ny8jq0l4" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<button id="submitButton" type="button" class="button-hover" data-dismiss="modal" tabindex="1000">Submit</button>
<div class="validation-summary-valid" data-valmsg-summary="true"><span>Unable to submit. Check the form for errors.</span>
<ul>
<li style="display:none"></li>
</ul>
</div>
</div>
</form>Text Content
You’re almost here! Getting to Bermuda has never been easier! We invite you to complete the digital Bermuda Arrival Card prior to your arrival on the island. The form will take less than 2-minutes to complete and it will get you through the airport faster. Once you complete the form you will have an opportunity to download it right away. You will also receive the form by email. NOTE: All visitors arriving by air or yacht should complete this form. For questions about the form, please contact ArrivalCard@bermudatourism.com Please review our privacy policy. Visitors arriving via Cruise are not required to complete the below form. First Name Middle Initial Last Name Gender Female Male Citizenship Nationality Pick a country. Citizenship Nationality Citizenship Nationality Bermuda United States UK Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic Republic of Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao PDR Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Congo Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Saint-Martin Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Bahamas Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks & Caicos Tuvalu Uganda Ukraine United Arab Emirates Uruguay US Minor Outlying Islands US Virgin Islands Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe UNCERTAIN Rest of the World Passport Number Passport Expiration Date JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember0102030405060708091011121314151617181920212223242526272829303120482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023 Email Address Date of Birth JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember010203040506070809101112131415161718192021222324252627282930312023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 Arrival Date JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember0102030405060708091011121314151617181920212223242526272829303120242023 Arrival Method Arrival Method Arrival Method Cruise Commercial Flight Private Jet Yacht Flight Number Flight Number Flight Number -------------------------------------------------------------------------------- Home Address Google will try to find your address as you type, but it’s also possible to enter it manually. -------------------------------------------------------------------------------- Country Pick your country Country Country Bermuda United States UK Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic Republic of Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao PDR Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Congo Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Saint-Martin Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Bahamas Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks & Caicos Tuvalu Uganda Ukraine United Arab Emirates Uruguay US Minor Outlying Islands US Virgin Islands Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe UNCERTAIN Rest of the World Address Line 1 Address Line 2 City CountyId Region Pick your state/province CountyId CountyId Aberdeen ALABAMA ALASKA ARIZONA ARKANSAS Bath Belfast Birmingham Blackburn Blackpool Bolton Bournemouth Bradford Brighton Bristol Bromley CALIFORNIA Cambridge Canterbury Cardiff Carlisle Chelmsford Chester Cleveland Colchester COLORADO CONNECTICUT Coventry Crewe Croydon Darlington Dartford DELAWARE Derby DISTRICT OF COLUMBIA Doncaster Dorchester Dudley Dumfries Dundee Durham East Central London East London Edinburgh Enfield Exeter Falkirk FLORIDA Galashiels GEORGIA Glasgow Gloucester GUAM Guernsey Guildford Halifax Harrogate Harrow HAWAII Hemel Hempstead Hereford Hertfordshire Huddersfield Hull IDAHO Ilford ILLINOIS INDIANA Inverness IOWA Ipswich Isle of Man Jersey KANSAS KENTUCKY Kilmarnock Kingston upon Thames Kirkcaldy Kirkwall Lancaster Leeds Leicester Lerwick Lincoln Liverpool Llandrindod Wells Llandudno LOUISIANA Luton MAINE MAJURO/EBEYE Manchester MARYLAND MASSACHUSETTS MICHIGAN MILITARY (AA) MILITARY (AE) MILITARY (AP) Milton Keynes MINNESOTA MISSISSIPPI MISSOURI MONTANA Motherwell NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK Newcastle upon Tyne Newport NORTH CAROLINA NORTH DAKOTA North London North West London Northampton Norwich Nottingham OHIO OKLAHOMA Oldham ONTARIO OREGON Outer Hebrides Oxford Paisley PENNSYLVANIA Perth Peterborough Plymouth POHNPEI/CHUUK/KOSRAE Portsmouth Preston PUERTO RICO QUEBEC Reading Redhill RHODE ISLAND Rochester Romford SAIPAN/ROTA MARIANA Salisbury Sheffield Shrewsbury Slough SOUTH CAROLINA SOUTH DAKOTA South East London South West London Southall Southampton Southend-on-Sea St Albans Stevenage Stockport Stoke-on-Trent Sunderland Sutton Swansea Swindon Taunton Telford TENNESSEE TEXAS Torquay Truro Tunbridge Wells Twickenham UTAH VERMONT VIRGIN ISLANDS (US) VIRGINIA Wakefield Walsall Warrington WASHINGTON Watford West London WEST VIRGINIA Western Central London Wigan WISCONSIN Wolverhampton Worcester WYOMING York NEWFOUNDLAND NOVA SCOTIA PRINCE EDWARD ISLAND NEW BRUNSWICK MANITOBA SASKATCHEWAN ALBERTA BRITISH COLUMBIA NORTHWEST TERRITORIES NUNAVUT YUKON Zip/Postal Code First Trip Yes No Intended Stay # Nights Purpose of Entry Select purpose of entry Purpose of Entry Purpose of Entry Vacation Destination Wedding Concert/ Festival/ Carnival Sports Events/ Training Business Incentive Conference/ Meeting Work from Bermuda 1 Year Residency Certificate Visiting Family & Friends Vacation Visiting Family & Friends Personal Study Other -------------------------------------------------------------------------------- Intended Address Intended Address Intended Address Hotels or Similar Friends and Relatives Rental House/ Apartment (e.g. airbnb) Bed & Breakfast/ Guesthouse Private Homes Boat/Yacht/Superyacht Educational Institute Other Accommodation Name Accommodation Name Accommodation Name Aunt Neas Inn at Hillcrest Azura Bermuda Blue Horizons Burch's Guest Apartments Cambridge Beaches Resort & Spa Clairfont Apartments Coco Reef Bermuda Coral Beach & Tennis Club Cruise Ship Dawkins Manor Edgehill Manor Guest House Fourways Inn & Cottages Garden House Granaway Guest House & Cottage Greenbank & Cottages Greene's Guest House Grotto Bay Beach Resort & Tennis Club Hamilton Princess Little Pomander Guest House Mid Ocean Club Munro Beach Cottages Newstead Belmont Hills Golf Resort and Spa Other Owned Fractional Unit/Condo/Home Oxford House Paraquet Guest Apartments Pompano Beach Club Private Home Rental House/ Apartment (e.g. airbnb) Robins Nest Rosedon Rosemont Rosewood Tuckers Point Hotel & Spa Royal Palms Hotel & Restaurant Sandpiper Apartments Sound View Cottages St. Regis Bermuda Resort The Loren at Pink Beach The Reefs The St. Georges Club Unknown Valley Cottages & Apartments Willowbank Resort BIOS Inverurie Executive Suites Kingston House Bed & Breakfast Other Hotel Royal Bermuda Yacht Club Viking (Orion) Yacht Friends and Relatives Other B&B/Guesthouse Superyacht Tug Boat Bermuda Regiment/ Warwick Camp/ Barracks National Museum of Bermuda Windsong Other Boat Accommodation Address -------------------------------------------------------------------------------- YES, Please add me. I consent to Bermuda Tourism contacting me about special offers, promotions and information about Bermuda Tourism and its selected promoters. All data will be held and processed in accordance with our privacy policy. I hereby declare that the information provided is true and correct. Terms of Use & Privacy For technical support or to report a problem, please contact ArrivalCard@bermudatourism.com Submit Unable to submit. Check the form for errors. *