Travel Inquiry Form

Let's get started planning your upcoming trip! I can take the stress out of travel planning and you keep as little, or as much control over your trip as you please. We will work together to build a vacation that fits your needs and budget. Please fill out the Travel Inquiry Form, and I will get back to you within 48 hours.
Travel Interest Survey

Summit City Travel I Courtney Visocky
Name*

First NameLast Name
E-mail*
Where would you like to Travel? Disney World, Sandals, Beaches, Universal Studios, Cruise, All Inclusive, Mexico, other…*
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?
Is anyone on the trip disabled in any way?
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 budget for this trip, including airfare/travel?*
Any types of discount? Military, teacher, etc?
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.
What else would you like me to know about you, or the trip you have in mind?
Should be Empty:

Travel Interest Survey