Travel Planning Questionnaire

Travel Planning Questionnaire
Thank you for your interest in planning your next vacation with Cruise Planners - Chuck & Ali Schmidt. We love helping people plan for their vacations and we put a tremendous amount of time and effort into planning the right vacation for you and those traveling with you.

To do this effectively, we need YOUR help! This questionnaire is designed to help you be as specific as possible with your information about the type of travel you're interested in, when you want to travel, and where you want to travel. The more specific you are about your travel wants, the better we can plan for your trip.

If you should have any questions while completing this form please feel free to contact us at (972) 800-8268 or by email at chuck.schmidt@cruiseplanners.com or ali.schmidt@cruiseplanners.com

We look forward to working with you!
You may qualify for additional DISCOUNTS, are you:
Not all suppliers offer these discounts.
Full Name/Traveler #1 (as it appears on passport)*

First NameMiddle NameLast NameSuffix
Nickname
Name that friends call you.
How did you hear about our travel agency?*
Who referred you?
We like to thank our referring clients.
Date of Birth-Traveler #1*

MonthDayYear
Do you have a Passport?*

YesNoIn ProcessExpired, it needs to be renewedMine Expires in less than 1 year
COVID Information*

VaccinatedRecovered with Dr Letter
Home Address (this needs to be a physical address, not a P.O. Box to be able to quote insurance)*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Cell Phone*
Ok to Text?-1*

YesNo
Alt. Phone

Area CodePhone Number
Preferred Email*

Confirmation Email
Travel Details
Type of Travel for this Trip?*

Ocean CruiseRiver CruiseEscorted Land TourAll-Inclusive ResortSafariCustom Travel Planning (Hotel-Air-Car)One of a Kind ExpeditionsOther
Where would you like to go?*

HawaiiAlaskaUSAMexicoCaribbeanCanadaEuropeSouth AmericaAfricaAsiaAustraliaSouth PacificNew ZealandOther
Describe your trip*
What are your Dates of Travel?*
Be as specific as possible
Who will be Traveling?*

CoupleFamilyGroup
What will You be Celebrating?*

HoneymoonAnniversaryDestination WeddingIncentive Trip(Business)Much Needed VacationOther
What is your Wedding Date?

MonthDayYear
Date
Who else will be involved with planning this trip?
Additional Traveler Information
If you marked Couple or Family above please complete the information requested below for additional travelers on this trip. There is room for 5 people here. If you are part of a group (6 or more people) we will collect this information separately.
Name-Traveler #2 (as it appears on passport)

First NameMiddle NameLast NameSuffix
Nickname
Name that friends call you.
Spouse of Traveler #1?

YesNo/Other Relative/Friend
Traveler #2 - Date of Birth

MonthDayYear
Traveler #2 - Do they have a Passport?

YesNoIn ProcessExpired, it needs to be renewedIt Expires in less than 1 year
Traveler #2 - COVID Information*

VaccinatedRecovered with Dr Letter
Traveler #2 - Address (this needs to be a physical address, not a P.O. Box to be able to quote insurance)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Traveler #2 - Cell Phone
Ok to Text?-2
Traveler #2 - Email
Add if you want this person to be included in emails about this trip
If there are additional family members to add for this trip please add them below. Otherwise, scroll to the bottom, review our Terms & Conditions, and Submit.
Name - Traveler #3 (as it appears on passport)

First NameMiddle NameLast NameSuffix
Nickname
Name that friends call you.
Related to Traveler #1

ChildOther RelativeFriend
Traveler #3 -Date of Birth

MonthDayYear
Traveler #3 - Do they have a Passport?

YesNoIn ProcessExpired, it needs to be renewedIt Expires in less than 1 year
Traveler #3 - Covid Information

VaccintatedRecovered with Dr Letter
Traveler #3 - Address (this needs to be a physical address, not a P.O. Box to be able to quote insurance)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Traveler #3 - Cell Phone (If Applicable)
Traveler #3 - Email (If Applicable)
Name - Traveler #4 (as it appears on passport)

First NameMiddle NameLast NameSuffix
Nickname
Name that friends call you.
Related to Traveler #1

ChildOther RelativeFriend
Traveler #4 - Date of Birth

MonthDayYear
Traveler #4 - Do they have a Passport?

YesNoIn ProcessExpired, it needs to be renewedIt Expires in less than 1 year
Traveler #4 - COVID Information

VaccinatedRecovered with Dr Letter
Traveler #4 - Address (this needs to be a physical address, not a P.O. Box to be able to quote insurance)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Traveler #4 - Cell Phone (If Applicable)
Traveler #4 - Email (If Applicable)
Name - Traveler #5 (as it appears on passport)

First NameMiddle NameLast NameSuffix
Nickname
Name that friends call you.
Related to Traveler #1

ChildOther RelativeFriend
Traveler #5 - Date of Birth

MonthDayYear
Traveler #5 - Do they have a Passport?

YesNoIn ProcessExpired, it needs to be renewedIt Expires in less than 1 year
Traveler #5 - Current Passport

YesNoIn Process
Traveler #5 - Address (this needs to be a physical address, not a P.O. Box to be able to quote insurance)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Traveler #5 - Cell Phone (If Applicable)
Traveler #5 - Email (If Applicable)
Terms & Conditions
The trip planning service provided by Cruise Planners-Chuck & Ali Schmidt is FREE. We are compensated by the cruise lines, tour operators, resorts, and hotels that you select for your trip.

All pricing quoted is as of the date quoted and subject to change until such time the trip is deposited.

Traveler Acknowledgement

By submitting this form I agree that I have done my best to describe the trip that I want to take. I have made my best effort to provide accurate spellings of names and accurate dates of birth for myself and other travelers. I acknowledge that it is my responsibility to confirm the accuracy of these passenger details when the final booking is completed and to notify Cruise Planners-Chuck & Ali Schmidt of any corrections promptly. Failure to do so may incur change fees, increased pricing and denied boarding due to inaccurate travel documents.
I have read the Terms and Conditions*

Yes
Should be Empty:

Travel Planning Questionnaire

Travel Details

Additional Traveler Information

Terms & Conditions