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 Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
AIR TRAVEL
Date of Travel
Departure Date
-
Month
-
Day
Year
Return Date
-
Month
-
Day
Year
If yes, include additional dates
Departure City/Airport
Destination City/Airport
Number of Adults
*
Number of Senior
Number of Children and Ages
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
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?
Yes
No
Trip type
One Way
Round Trip
Multi-City
Airline Preference ( Frequent Flyer Programs)
Seat Preference
First Class
Business Class
Premium Economy
Economy
Extra Leg Room/Premium
Aisle
Middle
Window
Bulkhead
Forward
Wing
Luxury Private Jet- The Ultimate Luxury Travel Experience
Yes
No
Trip type
Around The World By Private Jet Vacation
Across A Continent By Private Jet Vacation
Private Jet Travel
CRUISE VACATION
Departure City (if known)
Preferred Destination: (if known)
Cruise Preferences (Frequent Cruiser Programs)
Cruise Type
Please Select
Disney Cruise
Family-friendly
Couple/Adult Only
Premium Cruise (4 Stars)
Luxury Cruise (5 Stars)
Ultra Luxury Cruise (6 Stars)
River Cruises
Faith-Based Cruise
Cabin Class
Please Select
Inside Stateroom (No windows)
Ocean View
Balcony
Suite
Cruise Length:
Pre and Post Cruise (Hotel)Night:/Transfer
Yes
No
Beverage Plan:
Yes
No
Beverage Plan Type:
Non-Alcoholic
Alcoholic
HOTEL AND RESORT VACATION
Request:
Hotel Only
Hotel + 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 Resort
Other
Hotel Preferences (Frequent Guest Programs)
# of Rooms/Arrangement
Hotel/Resort Type
Please Select
Three Stars
Four Stars
Five Stars
Six Stars
# of Nights
Room Type:
Standard Room
Garden View
Ocean View/Front
Master Suites
Jn Suites
Other
Butler Service
Yes
No
Experiences ( Check all that Applies)
All Inclusive
Active/Adventure
Beach
Spa & Wellness
Golf
Adults Only
Family Friendly
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Nightlife
Romance
Diving
Snorkeling
Wedding
Relaxation
Honeymoon
TRAIN VACATION
Departure City (if known)
Preferred Destination: (if known)
Vacation Types
Please Select
Most Popular
Luxury Rail
Famous Train
Rocky Montaineer
Room Class
Please Select
Roomette ( Shared bathroom)
Bedroom (Private bathroom)
Suites.
Trip Length:
Pre and Post Train (Hotel)Night:/Transfer
Yes
No
Are You Travelling For A Special Occasion
Yes
No
What level of service are you looking for on the train?
Standard Class
First Class
KINDLY SELECT THE TYPES OF ACTIVITIES...
Adventures & Thrills
Cultural Immersion
Historical Sites
Water Sports
Relaxation & Fun
Wildlife & Eco-Tourism
National Parks
Traditional Outdoors
Winter Activities
Shore Excursions
Other
CAR RENTAL
Car Preferences (Frequent Renter Programs):
Add-Ons:
Pick Up City
Drop off City
Duration
# of Passenger(s)
Car Categories
Compact
Mid Size
Full Size
Luxury Car
Black SUV
Limo
Other
VACATION HOME / LUXURY VILLAS
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?
FOREIGN GUIDED/INDEPENDENT TRIP
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 Tour
Independent
Are You Traveling As A Group Or Solo Traveler
Group
Solo( 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?
TOURS, ATTRACTIONS AND SHORE EXCURSIONS
KINDLY SELECT THE TYPES OF ACTIVITIES...
Adventures & Thrills
Cultural Immersion
Historical Sites
Water Sports
Relaxation & Fun
Wildlife & Eco-Tourism
National Parks
Traditional Outdoors
Winter Activities
Shore Excursions
Other
OTHER INFORMATION
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/History
Culture/Arts
Beach/Sun
Active/Sports
Wine/Culinary
Shopping
Spa
Notes
When Are You Ready To Book?
*
Please Select
Today
Within three days
Within seven days
Within two weeks
Within one month
Just shopping around.
What's Your Approximate Budget Per Person?
*
Do You Have Deposit Ready?
*
Yes
No
Travel Insurance
*
Yes
No (You will be required to sign a waiver)
Submit
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