GROUP TRAVEL AGENCY

Client Request Form

Welcome! Thank you for your interest in Group Travel Agency. Please take a few minutes to complete this short questionnaire. These questions give us a snapshot of what you are looking for so we can make the best vacation together.
Client Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- Date of Travel
- Departure Date
  
  MonthDayYear
- Return Date
  
  MonthDayYear
- If yes, include additional dates
- Departure City/Airport
- Destination City/Airport
- Number of Adults *
- Number of Senior
- Number of Children and Ages
- Age of First Child
- Age of 2nd Child
- Age of 3rd Child
- Age of 4th Child
- Age of 5th Child
- Age of 6th Child
- Age of 7th Child
- Age of 8th Child
- Age of 9th Child
- Age of 10th Child
- Age of 11th Child
- Age of 12th Child
- Flights With Check-in Bags Included?
  
  YesNo
- Trip type
  
  One WayRound TripMulti-City
- Airline Preference ( Frequent Flyer Programs)
- Seat Preference
  
  First ClassBusiness ClassPremium EconomyEconomyExtra Leg Room/PremiumAisleMiddleWindowBulkheadForwardWing
- Luxury Private Jet- The Ultimate Luxury Travel Experience
  
  YesNo
- Trip type
  
  Around The World By Private Jet VacationAcross A Continent By Private Jet VacationPrivate Jet Travel
- Departure City (if known)
- Preferred Destination: (if known)
- Cruise Preferences (Frequent Cruiser Programs)
- Cruise Type
- Cabin Class
- Cruise Length:
- Pre and Post Cruise (Hotel)Night:/Transfer
  
  YesNo
- Beverage Plan:
  
  YesNo
- Beverage Plan Type:
  
  Non-AlcoholicAlcoholic
- Request:
  
  Hotel OnlyHotel + Car ( Fill Out The Car Section Also)Hotel + Flight ( Fill Out The Flight Section Also)Hotel + Car + Flight ( Fill Out The Car/Flight Sections Also)All-Inclusive ResortOther
- Hotel Preferences (Frequent Guest Programs)
- # of Rooms/Arrangement
- Hotel/Resort Type
- # of Nights
- Room Type:
  
  Standard RoomGarden ViewOcean View/FrontMaster SuitesJn SuitesOther
- Butler Service
  
  YesNo
- Experiences ( Check all that Applies)
  
  All InclusiveActive/AdventureBeachSpa & WellnessGolfAdults OnlyFamily FriendlyOn the BeachNear City CenterKids ClubNear Air/Cruise PortLuxury ResortNightlifeRomanceDivingSnorkelingWeddingRelaxationHoneymoon
- Departure City (if known)
- Preferred Destination: (if known)
- Vacation Types
- Room Class
- Trip Length:
- Pre and Post Train (Hotel)Night:/Transfer
  
  YesNo
- Are You Travelling For A Special Occasion
  
  YesNo
- What level of service are you looking for on the train?
  
  Standard ClassFirst Class
- KINDLY SELECT THE TYPES OF ACTIVITIES...
  
  Adventures & ThrillsCultural ImmersionHistorical SitesWater SportsRelaxation & FunWildlife & Eco-TourismNational ParksTraditional OutdoorsWinter ActivitiesShore ExcursionsOther
- Car Preferences (Frequent Renter Programs):
- Add-Ons:
- Pick Up City
- Drop off City
- Duration
- # of Passenger(s)
- Car Categories
  
  CompactMid SizeFull SizeLuxury CarBlack SUVLimoOther
- Destination: State or Country?
- Luxury Package Type?:
  
  Luxury Villa (3 Stars)Luxury Villa (4 Stars)Luxury Villa (5 Stars)Luxury Villa (6 Stars)
- How Many Bed Rooms Home/Villas?:
- How Many Guests?
- Destination Country(ies)
- Type Of Package?
  
  Ultra Luxury (5-Stars Guide Tour)Premium ( 4 Stars Guide Tour)Value ( limited budget)Budget (lowest cost possible)
- How Do You Want The Tour?
  
  Guided TourIndependent
- Are You Traveling As A Group Or Solo Traveler
  
  GroupSolo( You maybe assigned to a group tour)
- If Travelling As a Group. How Many People In Your Group
- What Activities Do You Enjoy OR Looking To Do During This Trip?
- KINDLY SELECT THE TYPES OF ACTIVITIES...
  
  Adventures & ThrillsCultural ImmersionHistorical SitesWater SportsRelaxation & FunWildlife & Eco-TourismNational ParksTraditional OutdoorsWinter ActivitiesShore ExcursionsOther
- What hotels have you stayed in and enjoyed?
- What cruiselines and resorts have you enjoyed before, if any?
- What activities do you enjoy when travelling?
  
  Sightseeing/HistoryCulture/ArtsBeach/SunActive/SportsWine/CulinaryShoppingSpa
- Notes
- When Are You Ready To Book?*
- What's Your Approximate Budget Per Person?*
- Do You Have Deposit Ready?*
  
  YesNo
- Travel Insurance*
  
  YesNo (You will be required to sign a waiver)
- Should be Empty:

Client Request Form

Date of Travel