Customer Information Form
DATE COMPLETED
/
Month
/
Day
Year
Date
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (00) 0000-000000.
Address
Vacation Budget:
*
Travel Insurance
Yes
No
Number of Adults
*
Number of Children and Ages
*
Dates of Travel:
*
/
Day
/
Month
Year
Date
Flexible:
*
Yes
No
If Yes, number of days
Number of nights
*
Destinations of Interest
*
Special occasion
Air Travel
Departure City
Airline Preference (Frequent Flyer Programs)
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Forward
Wing
Cruise Vacation
Cruise Preferences (Frequent Cruiser Programs)
Cruise Itinerary
Cruise Length
Pre and Post Cruise Nights:
Yes
No
If Yes, how many nights
Cabin Class
Beverage Plan:
Ye s
No
Beverage Plan Type
Hotel and Resort Vacation
Property Preferences (Frequent Guest Programs)
Number of Rooms/Arrangement
Hotel rating
Room type
Double
Twin
Junior suite/suite
Board type
Room only
Bed & Breakfast
Half Board
Full Board
All Inclusive
Preferred Hotel Features
Adults only
Family friendly
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Swimming pool
Tennis court
Golf
Gym
Spa & wellness
Parking
Other Information
Additional Notes
What hotels have you stayed in and enjoyed?
What cruiselines and resorts have you enjoyed before, if any?
Transportation
*
Shuttle transfer
Private transfer
Car Hire
No Transfer
What activities do you enjoy when travelling?
Sightseeing/History
Culture/Arts
Beach/Sun
Active/Sports
Wine/Culinary
Shopping
Spa
Other
Submit
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