GLAM-MA ESCAPES INQUIRY FORM

GLAM-MA ESCAPES INQUIRY FORM

Thank you so much for reaching out to Glama-Ma Escapes! We offer 3 complementary quotes. Our services come at no extra cost to you! We will work hard to get you the best price available for your upcoming travel. Please fill out this form in it's entirety so we can better assist you. Someone will be in touch within 1 to 2 business days. Please add Glam-Ma Escapes to your safe-sender list to prevent any email correspondence from going to your junk/spam folder.
Your Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Preferred Method of Contact - Check all that apply.*

EmailPhone CallText MessageFacebook Messenger
U.S. Military Involvement?*

NoNo but someone traveling with me isYes I am Active DutyYes I am RetiredYes I am a Military SpouseOther
Travel Information
Where would you like to go*
Departure Airport*
If not flying, put Driving from (city)
Travel Start Date*
Month/Day/Year
Travel End Date*
Month/Day/Year
Are your travel dates flexible?

YesNo
Are you bringing any Pets?*

NoYes = family dogYes = service dog (must have papers)Other
How many travelers age 18+*
Based on Travel Start Date
How many travelers age 10-17*
Based on Travel Start Date
How many travelers age 3-9*
Based on Travel Start Date
How many travelers age 2 or Under*
Based on Travel Start Date
If there are multiple families/couples traveling, how would you all like to be split into rooms? If anyone is military, please indicate which room they will be in!
Example: Room One = 2 adults & 5 year old, Room Two (military) = 1 adult & 8 year old, or We prefer a large suite that will sleep everyone, etc.
What is your Total Vacation Budget?*

$2,000 - $4,000$4,000 - $6,000$6,000 - $8,000$8,000 - $10,000$10,000+Other
What kind of Vibe are you looking for? Check All that Apply.*

Kid/Family FriendlyCulture/CulinaryAdventure/ActiveOff the Beaten PathRomanceRest & RelaxationNightlife/PartyHealth & WellnessClothing OptionalAdult Only SinglesAdult Only CouplesOther
Type of Travel? Check All that Apply.*

Family VacationWeddingSolo TravelHoneymoonBusiness TravelGirl's TripGroup TravelGuy's TripCouple's GetawayOther
Any Celebrations?

BirthdayAnniversaryGraduationOther
Anything you absolutely must see or do?
Example: Magic Kingdom, The Eiffel Tower, Snorkeling, Swim with Dolphins, Zip line, etc.
Anyone require handicap accessible accommodations, have special needs, dietary restrictions, allergies, or medical concerns you want me to be aware of?
Example: We need a wheelchair accessible room, child allergic to peanuts, etc. If multiple rooms - please indicate which
Any other Requests, Preferences, or Information you want me to know?
Example: We prefer to fly first class on Delta, ocean views, and a king size bed, etc.
Please verify that you are a human.*
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GLAM-MA ESCAPES INQUIRY FORM

Your Information

Travel Information