Travel Request Form

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TRAVELER INFORMATION
2
Main Traveler Name (as it appears on your Passport or Government Issued ID)* This field is required.
First Name
Middle Name
Last Name
3
Date of Birth* This field is required.
Date
Month
Day
Year
4
Address* This field is required.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Phone Number* This field is required.
Area Code
Phone Number
6
E-mail* This field is required.
example@example.com
7
Additional Travelers (Click "Add Traveler" for each additional traveler)* This field is required.
8
Please check the type of travel services you need (select all that apply):* This field is required.
Airline Tickets
Cruise
Hotel/Accommodations
Villa Rental
Rental Car
Tours or Activities
Transportation To & From Hotel
Travel Insurance
All Inclusive Vacation Package
Other
9
Type of Trip / Special Occasion (select all that apply)* This field is required.Please select what type of trip this quote is for. Select all that apply.
Anniversary
Birthday
Business
Family Vacation
Getaway
Honeymoon
Other
10
Do any travelers have accessibility or special needs requirements?
*Please list any special needs requests here along with their names.
11
What is your max budget for this trip?* This field is required.
*Per Person
12
What type of payment arrangement would you like?* This field is required.NOTE: Payment Installments are not always available and depends on the departure date as well as type of travel service needed.
BOOK NOW, PAY NOW
DEPOSIT NOW, PAY INSTALLMENTS
13
DESTINATION DETAILS
14
Departure City* This field is required.
*Please list City & State or Airport you prefer.
15
Destination* This field is required.Please be specific on preferred destination.
*Please list City and/or country you want to visit.
16
Do you need multiple destinations?* This field is required.
Yes
No
17
Multi-Destinations* This field is required.Use this box to indicate if you have multiple destinations by listing locations in preferred order.
*Indicate what destinations you need.
18
Departure Date* This field is required.Please enter your preferred or estimated departure date in order to provide an accurate travel quote.
Month
Day
Year
19
Return Date * This field is required.Please enter your preferred or estimated return date in order to provide an accurate travel quote.
Month
Day
Year
20
Are Your Dates Flexible?
Yes
No
21
Continue to Next Page...
22
FLIGHT DETAILS
23
Do you require flights?* This field is required.
Yes
No
24
If Yes, please fill in all the fields below. If No, please click next.
25
Preferred Departure Time* This field is required.
Please Select
Please Select
Morning
Afternoon
Evening
Red-Eye (Overnight)
None Preferred
*Please choose your preferred departure time.
26
Preferred Return Time* This field is required.
Please Select
Please Select
Morning
Afternoon
Evening
Red-Eye (Overnight)
None Preferred
*Please choose your preferred departure time.
27
Flight Options
Nonstop
1 Layover
2+ Layover
Red-Eye (Overnight)
28
Seating Preference
Aisle Seat
Middle Seat
Window Seat
29
Type of Class* This field is required.
Basic Economy
Please Select
Basic Economy
Economy Class
Business Class
First Class
*If none is selected, default will be Economy.
30
TYPE OF CLASS WARNING!!! If you choose Basic Economy, please note that the Basic Economy fare may be lowest in price, but have multiple restrictions. The following restrictions are likely to apply to this type of airfare.• Non Changeable or Refundable• Carry On Restrictions & Baggage Fees• No Preassigned Seats & Last Boarding Group• Other restrictions may apply. Please check with the airline's policy for additional information. If you do not agree to the Basic Economy Class restrictions, please select the next highest class which is Economy Class and that is what will be included in your quote.
31
Preferred Airline
*If you have a preferred airline, please list here.
32
Frequent Flyer Info(OPTIONAL) Please include your frequent flyer info & indicate what airline it's for.
*If you have a frequent flyer account, please list here.
33
Continue to Next Page...
34
ACCOMMODATIONS
35
Do you require accommodations (Hotel/Resort/Vacation Rental)?* This field is required.If you require accommodations, please fill in all the below fields. If no, click next.
Yes
No
36
If Yes, please fill in all the fields below. If No, please click next.
37
Number of Rooms* This field is required.
*Please list the number of rooms needed for your reservation.
38
Room/Bedding Type* This field is required.Please select your preferred room & bed type.
Please Select
Please Select
Double
King
Queen
Preferred club Suite
Swim-up Suite
Beachfront Suite
Kitchenette
Villa Vacation Rental
*Please select which bed/room type you prefer.
39
Preferred Hotel Brand
*If you have a preferred hotel brand, please list here.
40
Special Requests
*Please list any special requests you may have.
41
Hotel Rewards Info(OPTIONAL) Please include your hotel rewards info & indicate what Hotel it's for.
*If you have a hotel rewards program, please list here.
42
Continue to Next Page...
43
CRUISE INFORMATION
44
Are you requesting a Cruise?* This field is required.
Yes
No
45
If Yes, please fill in all the fields below. If No, please click next.
46
Destination* This field is required.
Select Destination
Select Destination
Africa
Alaska
Antarctica
Australia
Bahamas
Baltic
Bermuda
Canada
Caribbean
Central America
Europe
Florida
Hawaii
Mediterranean
Mexico Baja (Ensenada)
Mexican Riviera
Panama Canal
Transatlantic
Transpacific
Other (Please use special request box)
*Where would you like to sail to?
47
Duration* This field is required.
2-5 Nights
6-9 Nights
10+ Nights
Other
48
Departure Port* This field is required.
*Please list your preferred departure port in city & state. Flights may be required if no departure port is available in your city or state.
49
Cabin Quantity * This field is required.
*How many cabins will you need?
50
ATTENTION: Cabin Rates are based on double occupancy, unless booking a solo cabin, which is only available on certain cruiselines. Solo cabin rates are very limited.
51
Passenger Information (Click "Add Passenger" for each passenger & which cabin to place them in)* This field is required.
52
Passenger Type (select all that apply)
Military
Senior (55+)
Other
53
Cruise Line
Select Cruise Line
Select Cruise Line
AmaWaterways
Avalon Waterways
Azamara Club Cruises
Carnival Cruise Line
Celebrity Cruise Line
Costa Cruises
Crystal Cruises
Disney Cruise Line
Holland America Line
MSC Cruises
Norwegian Cruise Line
Oceania Cruises
Princess Cruises
Regent Seven Seas Cruises
Royal Caribbean International
Viking Ocean Cruises
Viking River Cruises
Windstar Cruises
*Do you have a preferred cruise supplier?
54
Cruise Ship
*If you know the name of the ship you prefer, please list here.
55
Pre & Post Cruise Accommodations* This field is required.
Pre Cruise
Post Cruise
Other
56
Returning Passenger Number
*List any returning Passenger VIP #'s here.
57
Special Requests
*Please list any special requests you may have including health concerns, special accommodations, celebrations, etc.
58
Continue to Next Page...
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FINAL STEPS
60
Anything else you'd like us to know? Please indicate if you have any additional requests, travel needs, health concerns or other special occasions.
*Please indicate any other travel needs, details, health concerns or special requests for this trip.
61
Have you already researched pricing for this trip?* This field is required.
Yes
No
62
If yes, please provide the pricing you've obtained, in order for us to provide you the best value for your requested trip. * This field is required.
63
Where and when was your original pricing from, as prices change daily? * This field is required.
64
Before submitting, please read: I acknowledge that the information I have provided is accurate to the best of my knowledge. I understand that my deposit, if trip is booked, is non-refunable and other cancellation penalties will apply depending on the cancel date. I understand that all monies must be paid by the final payment date, if my balance is left unpaid, my booking will be canceled and is non-refundable. *If travel insurance is purchased, it may cover any non-refundable fees depending on Coverage and Cancellation Policy, minus the cost of Travel Insurance. For this reason, purchasing travel insurance is highly recommended.
65
My Products* This field is required.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costUSD
Vacation Your WayFlight and Hotel Only Arrangements Up to 3 Travel Quotes Roundtrip Airport Transfers
$75.00Edit
Back
The Romatic CoupleFlight and Hotel Accommodations Arrangements Roundtrip Airport Transfers Up to 4 Personalized Quotes COVID-19 Requirements & Resources Personalized Itinerary Assistance Optional Excursion/Activities Planning Travel Insurance
$160.00Edit
Back
The Epic Group TripFlight and Hotel/Villa Accommodations Arrangements Roundtrip Airport Transfers Up to 7 Personalized Quotes COVID-19 Requirements & Resources Custom Itinerary Assistance Personalized Group Website Travel Protection Included Multiple Departure Cities Excursion/Activities Planning
$240.00Edit
Back
Total cost $0.00
66
Electronic Signature* This field is required.
Clear
67
Click the Box* This field is required.
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