Travel Inquiry Form

Your dream vacation starts here!
My goal is to make travel planning simple and stress-free. You can be as hands-on (or hands-off!) as you’d like while we design a trip that’s tailored to your budget and preferences. Complete the Travel Inquiry Form, and I’ll follow up with you within 48 hours. For a New Client Guide on working with me as your Travel Advisor, please CLICK HERE. I can’t wait to start planning your adventure!
Travel Interest Survey

Summit City Travel I Courtney Visocky
Name*

First NameLast Name
E-mail*
Where are you hoping to go, or what type of vacation do you have in mind? (Cruise, all-inclusive, Disney, Europe, etc.)*
How many nights do you want to be gone (including travel)?
Cities are you willing to fly/depart from?*
What is your state of residency?
Do you or anyone in your travel party have any accessibility needs (mobility, dietary, medical, etc.) that I should know about so I can make your trip more comfortable?
Number or Travelers?*
Name & Birthdate of Each Traveler? *
For example: Jane Doe: 1/12/1980; John Doe: 6/9/54; Laura Doe: 10/6/2012; Liam Doe: 4/4/14
If this is an International Trip Inquiry, What Are Passport Expiration Dates?
What is your estimated budget for this trip, including airfare/travel?*
Some travel providers offer discounts or added perks for certain professions. Is anyone in your group active military, a teacher, nurse, or paramedic?
What is(are) your preferred method(s) of contact?

EMAILPHONE CALLTEXTZOOMIN PERSON MEET-UP (Fort Wayne, Chicago or Milwaukee Area Only)
What is the earliest date you would like to depart?*

MonthDayYear
Date
What is the latest date you would like to return?*

MonthDayYear
Date
Are there any dates in your date range you CANNOT travel? If so please list.*
For example: We can travel anytime between June 15-July 15th. However, we cannot travel on July 2-5.
Are you celebrating anything special on this trip (birthday, honeymoon, anniversary, graduation, etc.)?
Any must-do experiences (snorkeling, wine tasting, cultural tours, theme parks, etc.)?
Would you like travel insurance included in your quote?
What else would you like me to know about you, or the trip you have in mind?
Should be Empty:

Travel Interest Survey