Travel Customer Information Form
Today's Date:
*
/
Month
/
Day
Year
Name
*
First Name
Last Name
Client Email:
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address:
*
Street, City, State, Zip
Vacation Budget:
*
Specify Per Person or Total
Vacation Insurance:
Yes
No (you must show proof of purchase on your end)
Number of Adults:
*
Number of Children AND Ages at Time of Travel:
*
EX: 3 children. 4, 6, and 9
Date of Departure:
*
/
Month
/
Day
Year
Day you Leave
Date of Return:
*
Day you Return
Are Dates Flexible:
*
Yes
No
Destinations of Interest:
Air Travel
Departure City:
Airline Preference (Frequent Flyer Programs):
Seat Preference:
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Bulkhead
Forward
Wing
Cruise Vacation
Cruise Preferences (Frequent Cruiser Programs):
Cruise Itinerary:
Where do you want to go?
Cruise Length:
How long do you want to sail for?
Pre and Post Cruise Nights:
Yes
No
Cabin Class:
Inside, Balcony, Suite, etc
Beverage Plan:
Yes
No
Beverage Plan Type:
Alcohol or Non-Alcoholic
Hotel and Resort Vacation
Hotel Preferences (Frequent Guest Programs):
# of Hotel Rooms:
# of Nights Before and After Cruise
Features:
Standard Room
Garden View
Ocean View/Front
Other:
All Inclusive
Adults Only
Family Friendly
Concierge Level:
Features:
Suite/Jr Suite
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Standard View
Ocean View
Concierge Level:
Car Rental
Car Company Preferences (Frequent Renter Programs):
Car Add-Ons:
GPS, Carseat, etc
Car Category:
Compact
Mid Size
Full Size
Luxury
Other
Package Tour
Country or Countries of Interest:
Country or Countries of Interest:
Escorted
Independent
Activity Level:
Light, Moderate, High Endurance
Other Information
Notes/Comments:
Reason for the trip, etc
What hotels have you stayed in and enjoyed?
What cruise lines and resorts have you enjoyed before, if any?
What activities do you enjoy when travelling?
Sightseeing/History
Culture/Arts
Beach/Sun
Active/Sports
What activities do you enjoy when travelling?
Wine/Culinary
Shopping
Spa
Travel Planning Requirement
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Research Retainer Fee
This research fee serves as a retainer of services. It is non-refundable and non-transferrable.
$
50.00
Quantity
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2
3
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5
6
7
8
9
10
Item subtotal:
$
0.00
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
By signing below, I acknowledge the research retainer fee is non-fundable if I do not move forward with a reservation or if I cancel my booking prior to the final payment.
Payment Methods
Debit or Credit Card
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the form.
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