Travel Interest Survey

Travel Interest Survey

My name is Katie Berns and I am a Free Travel Advisor with Magical Vacation Planner. I would love nothing more than to help tailor fit a vacation that meets all of your needs.
In order for me to assit you in the most efficient mannor possible, please fill out the request form below.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Would you like to be included on our email list?

YesNo
Preferred Contact Method*

PhoneEmailEither
Travel Dates available (from)

MonthDayYear
Date
To

MonthDayYear
Date
Are your dates flexible?

YesNo
Tell us more about your date flexibility...

3) Final Thoughts?

What else would you like us to know?
Are we missing anything? What else would you like us to know about your party, budget and/or travel preferences?
Should be Empty:

1) What kind of trip are you thinking of?