New Customer Registration Form

TRAVEL REQUEST

LET'S CREATE YOUR LUXURIOUS GLOBAL TRAVEL EXPERIENCE!
FIRST, MIDDLE & LAST NAME (As it appears on your passport)*

First NameMiddle NameLast NameSuffix
EMAIL ADDRESS*
example@example.com
CONTACT NUMBER*
QUESTIONS FOR YOUR TRIP

Thank you for allowing me to design your ideal trip. Please take some time to fill in the following details. Be as specific as possible so that I can use the time to put together an amazing package for you to consider. Please know that I appreciate you giving me the opportunity to earn your business. Let's begin!
WHERE WOULD YOU LIKE TO GO*
WHEN WOULD YOU LIKE TO DEPART?*

MonthDayYear
Date
WHEN WOULD YOU LIKE TO RETURN*

MonthDayYear
Date
ARE YOUR DATES FLEXIBLE?

Yes
DEPARTURE CITY*
IF MULTIPLE AIRPORTS, PLEASE LIST CITIES AND NUMBER OF PASSENGERS FOR EACH*
HOW MANY ADULTS? *
ADULTS
HOW MANY CHILDREN? (If none, please mark 0)*
WHAT ARE THE AGES OF THE CHILDREN? (If none, please mark 0)*
TYPE OF TRAVEL*

ALL-INCLUSIVE RESORTCRUISEUS-TRAVEL
WHAT IS YOUR BUDGET PER PERSON*

$500 to $1,000$1,000 to $1,500$1,500 to $2,000$2,000 to $2,500$2,500 to $3,000$3,000+
WHAT BEST DESCRIBES YOUR HOTEL PREFERENCE*

ECONOMYMODERATELUXURYBOUTIQUEOTHER
WHAT KIND OF VIBE ARE YOU LOOKING FOR?*

ROMANTICREST AND RELAXATIONOFF THE BEATEN PATHPARTYLOCAL CULTUREFAMILY FRIENDLYFOOD AND WINEOTHER
WHAT ACTIVITIES ARE YOU INTERESTED IN?*

BEACH AND WATERGAMBLINGSCUBAADVENTURE ACTIVITESGOLFNIGHTLIFEARTS AND THEATEROTHER
ANYTHING YOU ABSOLUTELY MUST DO OR SEE*
WHAT ELSE WOULD YOU LIKE ME TO KNOW?*
ARE YOU READY TO MAKE A DEPOSIT?*

YESNO
My Products*
prevnext( X )
30 Minute ConsultationThere is a nonrefundable $155.00 travel planning consultation which includes taxes and service charges. This fee consists of the following: (2) proposals of your destination choice, (1) 30 minute consultation, and a list of tour suggestions to explore while on your getaway. If you decide that you do not want to reserve your travel experience with Chic International Travel, the travel planning fee is nonrefundable, but the quotes and tour suggestions are yours to keep. Looking forward to speaking with you, you are one step closer to your Chic Experience!
$155.00

Additional Destination Request* Additional destination requests are $50.00 each.
$50.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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TRAVEL REQUEST

QUESTIONS FOR YOUR TRIP