Travel Planning Questionnaire

Thank you for the opportunity to help you plan your next luxury vacation! The more information I have from you, the better I am able to create a personalized itinerary that best suits your needs. Please complete this form as thoroughly as possible, and please allow me up to 3 business days to find you some options. *
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guest #1

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
E-mail
example@example.com
Do you have a Passport?

YesNoIn process
Guest #2

First NameLast Name
Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Email
example@example.com
Do you have a Passport?

YesNoIn process
Any additional travelers? Adults? Children? Please include names and ages below.
Where would you like to travel? Include any specific details.
What is your city of departure?
Preferred Departure Date?

MonthDayYear
Preferred Return Date?

MonthDayYear
What is your budget for this trip (per person)? **Please enter a dollar amount.***
Travel Components Requested

FlightsHotel / ResortCar RentalOcean CruiseRiver CruiseTours / Excursions / ActivitiesAirport TransfersOther - please note below
What type of hotel / resort do you prefer?

5 star4 star3 star
Is there a specific hotel brand you prefer? Is so, please note below.
Do you prefer an all inclusive resort? (if applicable)

YesNoIt does not matter
Please provide any additional info you'd like me to know.
What's the best way to reach you?

EmailPhone
Who referred you?
Documentation You are required to have documentation to leave the United States. It is your responsibility to have the proper paperwork to enter a country. Passports must be valid for 6 months beyond the completion date of your travel. If you are not a United States citizen please inform your Travel Advisor at time of booking. You can still book your vacation while in process of getting your passport. Please inform your agent of any other concerns.

My Products

Research Fee$20.00

Quantity

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty: