Travel Request Form
Please complete this form in full detail. You do not need to answer the questions that do not pertain to your trip. Once completed, I will schedule a phone consultation with you to do over eeverything down to the last detail, if necessary. Thank you!!! Now, let's plan your trip!!!
Street Address Line 2
State / Province
Postal / Zip Code
Best Contact Phone Number
Please enter a valid phone number.
Preferred Contact Method
Best Time to Contact
Addis Ababa (GMT+03:00)
Dar es Salaam (GMT+03:00)
El Aaiun (GMT)
Sao Tome (GMT)
Buenos Aires, Argentina (GMT-03:00)
Catamarca, Argentina (GMT-03:00)
Cordoba, Argentina (GMT-03:00)
Jujuy, Argentina (GMT-03:00)
La Rioja, Argentina (GMT-03:00)
Mendoza, Argentina (GMT-03:00)
Rio Gallegos, Argentina (GMT-03:00)
Salta, Argentina (GMT-03:00)
San Juan, Argentina (GMT-03:00)
San Luis, Argentina (GMT-04:00)
Tucuman, Argentina (GMT-03:00)
Ushuaia, Argentina (GMT-03:00)
Boa Vista (GMT-04:00)
Cambridge Bay (GMT-06:00)
Campo Grande (GMT-04:00)
Costa Rica (GMT-06:00)
Dawson Creek (GMT-07:00)
El Salvador (GMT-06:00)
Glace Bay (GMT-03:00)
Goose Bay (GMT-03:00)
Grand Turk (GMT-04:00)
Indianapolis, Indiana (GMT-04:00)
Knox, Indiana (GMT-05:00)
Marengo, Indiana (GMT-04:00)
Petersburg, Indiana (GMT-04:00)
Tell City, Indiana (GMT-05:00)
Vevay, Indiana (GMT-04:00)
Vincennes, Indiana (GMT-04:00)
Winamac, Indiana (GMT-04:00)
Louisville, Kentucky (GMT-04:00)
Monticello, Kentucky (GMT-04:00)
La Paz (GMT-04:00)
Los Angeles (GMT-07:00)
Mexico City (GMT-05:00)
New York (GMT-04:00)
Center, North Dakota (GMT-05:00)
New Salem, North Dakota (GMT-05:00)
Port of Spain (GMT-04:00)
Porto Velho (GMT-04:00)
Puerto Rico (GMT-04:00)
Rainy River (GMT-05:00)
Rankin Inlet (GMT-05:00)
Rio Branco (GMT-04:00)
Santo Domingo (GMT-04:00)
Sao Paulo (GMT-03:00)
St Barthelemy (GMT-04:00)
St Johns (GMT-02:30)
St Kitts (GMT-04:00)
St Lucia (GMT-04:00)
St Thomas (GMT-04:00)
St Vincent (GMT-04:00)
Swift Current (GMT-06:00)
Thunder Bay (GMT-04:00)
South Pole (GMT+12:00)
Ho Chi Minh (GMT+07:00)
Hong Kong (GMT+08:00)
Kuala Lumpur (GMT+08:00)
Phnom Penh (GMT+07:00)
Cape Verde (GMT-01:00)
South Georgia (GMT-02:00)
St Helena (GMT)
Broken Hill (GMT+09:30)
Lord Howe (GMT+10:30)
Isle of Man (GMT+01:00)
San Marino (GMT+02:00)
Pago Pago (GMT-11:00)
Port Moresby (GMT+10:00)
Basic Trip Information
Interest in Booking (check all that apply)
Where are you departing from? What airport?
Are you planning a group trip? (10 or more is considered a group. A group request form will be sent. A group planning rate will apply.)
As of now, yes
As of now, no
What destination/s do you have in mind?
List of all countries or cities you are seeking a quote for
Date you want to leave
Date you want to return
Are your travel dates flexible?
What is your budget?
A deposit with payment plan (if applicable)
Monthly payments (if applicable)
# of Adults
# of Children
Children's Ages (if applicable)
Date of Birth
passport # (if traveling out of uS?
TSA precheck # (if applicable)
AARP Senior Discount
Membership Number/s (if applicable)
Put any airline loyalty membership numbers here
Are passports updated?
Yes, they are up to date
No, they need to be updated
Some travelers need passports or updates
No, we do not have passports
Does not apply
Preferred Airline (if applicable)
Jet Blue Airlines
Preferred Class (if applicable)
Would you like me to provide roundtrip transportation to and from the airport? (transportation includes a ride from airport to hotel on arrivel & a ride to the airport from hotel on departure date)
Yes, regular car transportation
Yes, SUV transportation
No transportation necessary
Large Group Transportation (check all that apply)
Yes, I have my own full-coverage policy
No, I need to purchase insurance from the rental car company
Property Star Rating Minimum
Vacation Home Rental
Bed and Breakfast
Property Amenities (check all that apply)
1 King Bed Smoking
1 King Non-smoking
2 Queen Smoking
2 Queen Non-smoking
2 Double Smoking
2 Double Non-smoking
How many rooms do you need?
Accessibility (check all that apply)
Rewards # (if applicable)
Type any rewards membership numbers here
Need to be close to a specific venue or area? Enter it here.
Have you ever cruised before?
If yes, what cruise line did you go on?
If yes, do you want to use that same cruise line?
I have no preference
Past guest numbers from previous cruises (if applicable)
Where would you like to cruise to?
What port do you want to sail from?
What is the occasion for the cruise?
What type of cabin do you prefer?
Do you need pre or post night hotel? (this is a good idea, so you don't miss your cruise)
Would you like a drink package? These packages (alcohol, soda, water) are a lot more expensive once you board and single drinks are also very expensive.
Are you prone to sea sickness?
Interested in these activities? (check all that apply)
Concerts or Shows
Sightseeing and Tours
Looking for a specific activity? Enter it here
Anything else you would like to add or anything else I need to be aware of?
Ex: food allergies, mobility restrictions, etc.
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