B.D.G. Customer Information Form

B.D.G. Customer Information Form
First Name
Last Name
Email
example@example.com
Cell Phone
Format: (000) 000-0000.
Primary Adult Traveler D.O.B.
Street Address
City
State
Zip Code
Vacation Budget Amount (How much are you wanting to spend per person.)
Trip Insurance (All bookings/vacation packages include trip insurance.)
Number of Adults Traveling
Guest Full Name (As is on DL and Passport)
Guest D.O.B.
Number of Children Traveling on this trip?
Child(ren) D.O.B. (separate each child(s) by full name and DOB with comas)
Child 17 years or younger
Destinations of Interest
Date of Travel (Departure)

MonthDayYear
Date
Date of Travel (Return)

MonthDayYear
Date
Flexible Dates
Departure City
Airline Preference (Frequent Flyer Programs)
Seat Preference (select all that apply)
Cruise Preferences (Cruise Line, Frequent Cruiser Programs)
Cruise Itinerary. (What do you want to do?)
Purpose for cruise
Cruise Length
Pre or Post Cruise Nights (For Hotel booking)

Other
Cabin Class Type (Interior, Ocean View, Balcony, Suite)
Cruise Beverage Plan
Hotel Preference (Include Frequent Guest Programs name and number , i.e Hilton Honors)
# of Nights Stay
# of Rooms
Roommate Name(s)
# of Beds needed
Hotel Preferences: Select all that apply

Other
Car Rental Preference ( Rental Company, Frequent Renter Programs)
Car Rental Category
Car Rental Add Ons (Car Seat,GPS Gas plan)
State, Country, or Countries of Interest
Touring Packages Activity Level

Other
What hotels and resorts have you stayed in and enjoyed?
What cruise lines have you stayed in and enjoyed? If any.
What activities do you enjoy when traveling?
Notes
Should be Empty: