Jacqleen Travels Customer Information Form

Travel Inquiry Form

Jacqleen Travels
Contact details

Please fill in all information accurately and with detail. *Make sure names and DOB are the same as your travel documents*
Thank you for entrusting Jacqleen of Jacqleen Travels to take care of your travel needs. The goal is so you are able to build memeories as well as have the best vacation ever.

Please be sure to schedule a travel consultation call and fill out the Travel Inquiry form in its entirety to the best of your ability. Once our consultation call is complete I will begin formulating a quote for you.

Click here to schedule a call

Please be sure to add Jacqleentravels@gmail.com to your primary email account or contacts, that way you don't miss any emails or so they don't end up in spam. I look forward to helping you with your travel plans.
Name (As on travel documents)*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Gender?

MaleFemale
Date of Birth*

MonthDayYear
DOB
Travel Plans
What type of vacation are you looking for?*
Where Would You Like to Travel? (Destination or types of cruise)*
What do you want your vacation to include?*

FlightsAirport transfersCar RentalExcursions. Suggestions
What airport would you like to depart from?*
Departure Date*

MonthDayYear
Date
Return Date*

MonthDayYear
Date
Are these dates flexible?*

YesNo
Is there an airline you won't travel on?
Where do you prefer to sit if available?

Extra leg or emergency rowWindowMiddleAisle
Is your US PASSPORT active for travel for this trip*

YesNo- I need help/guidanceNo, but it will be up to date in time for this trip
Would you like TRAVEL INSURANCE included in your quote?*

YesNo-I will fill out a wavier denying travel insurancee
Are you inquiring for a group of 10 or more??*

YesNo
How Many Adults(18 and older)*
How Many Children?*
Names, Date of birth, & Ages of Children (At The Time of Travel)?*
Full names and DOB of other travelers you are booking this trip for (as they appear on travel documents)*
How many rooms or cruise cabins?
Bed preference*

King BedDouble
What Is Your Cabin Preference?(Cruises only)*

Interior (No Windows)Ocean View (Window)BalconySuiteN/A
Vacation Experience
Is this trip for any Special Occasion?
Birthday, Anniversary, wedding etc.
What resorts or hotel brands have your enjoyed staying at in the past?
Did you start researching on your own? Do you have a resort or cruise in mind?
Loyalty Program and # ?
Hotel, Cruise or Airline Loyalty
Select All That Apply

Adult OnlyFamily FriendlyRomanceWedding/HoneymoonExcursions/ActivitiesBeachGolfBusiness Travel
Medical issues/Allergies/Dietary restrictions I should be aware of?
Your Budget Is Important
I will do my best to search for the most value for your price point. It is important that your budget aligns with what you are interested in.
How Soon You Can Make A Deposit?*

1-3 Days1-2 Weeks30 Days
What's Your Budget Per Person? *
Thank You!
How did you hear about Jacqleen Travels?*
Are you interested in learning how to earn money on this trip or others that you may be planning??*

Yes, pleaseNo, Thank YouAbsolutely, schedule 15 minute call to receive a text or email overview
Privacy Details*

I consent to having Jacqleen Travels collect details via this form.
Should be Empty:

Travel Inquiry Form

Contact details

Travel Plans

Vacation Experience

Your Budget Is Important

Thank You!