Gather Together Travel
Intake Form
Please indicate what reason you're wanting to travel/vacation:
Honeymoon
Family/Friend Vacation
Business/Pleasure Woring-Vacation
Reunion
Business
Please Indicate what type of vacation you'd like planned:
Cruise
Land (Hotel/Air/Transportation)
Hotel/Resort
Theme Parks (Disney, Universal, etc)
Are you any of the following:
Senior (Over 55 years of age)
Military (Active/veteran)
Public Service (Police, EMT, Fire)
Would you like vacation insurance?
*
Please Select
Yes
No
Tell us a little about what you'd like planned? (Where you'd like to go? What you'd like to do while there?)
When would you like to start your vacation?
-
Month
-
Day
Year
Date
When would you like to return?
-
Month
-
Day
Year
Date
Do you have your budget set for this vacation you'd like to plan? If yes, please indicate ALL IN amount, so I know where to start (Airfare/hotel/excursion/Cruise)
Do you have points from a credit card or membership you'd like to use?
Yes
No
If you answered yes to the points question, which would you like to apply it too?
airfare
hotel
transportation (i.e. car rental/train/bus tickets)
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
Name of 2nd passenger
First Name
Last Name
Date of Birth for 2nd passenger
-
Month
-
Day
Year
Date
How would you like us to contact you?
Email
Phone Call
Text (only done for inital questions. Full planning is done over the phone or in person.)
Submit
Should be Empty: