Mae Claire Travel Co.
Katie Franks, Independent Travel Advisor with Mode Travel
Name of Lead Traveler (as it reads on passport)
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a valid US passport?
Yes
No
Not yet, but I will apply right away!
Passport Expiration Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Traveling Companion (as it reads on passport)
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Method of Contact
Email
Phone Call
Where would you like to Travel to?
Departure Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Return Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are your dates flexible?
What airport are you departing from?
Would you like airfare included in your quote?
If so, do you have a preferred airline/rewards number?
What type of vacation are you looking for?
All Inclusive
Hotel Only (Domestic or International)
Adult Only
Milestone Event
Multi-Generational
Honeymoon
Family Vacation
Corporate Incentive
Group Travel(5+ rooms)
Self Drive or Guided Tour
Cruise (River or Sea)
Other
How many rooms do you need?
How many adults and how many kids are traveling?
What are the names and DOB for the additional travelers?
Estimated total budget?
$5,000-$7,500
$7,500-$10,000
$10,000-$15,000
$15,000- $20,000
Once in a lifetime vacation!
Are you vaccinated against Covid-19*?
Yes
No
*Please know that this is a NON- JUDGEMENT zone. I ask because there are still locations that have requirements and knowing this helps me better assist you.
Did you want travel insurance quoted in your rate?
Yes, please protect my travel investment.
No, let's roll the dice!
Please tell me in detail what you envision for your vacation, so I can tailor it to you and your needs!
How did you hear about Katie Franks? Please share!
Please acknowledge that you read and are aware of the Services and Package prices that are offered by Mae Claire Travel Co.
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