Travel Booking Request Form

Travel Booking Request Form
Primary Client Contact Information

First NameLast NameSuffix
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
example@example.com
Total Number of Adults
Adult Names & Ages
Is Anyone Traveling Over the Age of 55?

YesNo
Total Number of Children
Name - Child 1
Date of Birth
Name - Child 2
Date of Birth
Name - Child 3
Date of Birth
Name - Child 4
Date of Birth
Travel Budget (US Dollars)*
Date From
Date To
If unsure of exact dates - Approximate month and year of travel
Type of Travel (Check all that apply)

Package (flight, hotel, car)FlightHotelCruiseRental CarActivities
Destination(s)
Special Occasion (Birthday, Honeymoon, Destination Wedding, Music Festival, etc)
Preferred Hotel Brand(s)
Provide Top 3
Hotel Loyalty Number(s) if applicable
Special Rate Discounts

AAAAARPMilitaryGovernmentOther
All Inclusive

YesNo
Adult OnlyKid Friendly
Number of Rooms
Room Preference

King Bed(s)Queen bed (s)Junior Suite or SuitePenthouseOther
Flight Preferences Arrival & Departure Cities
Direct Flight

YesNo Preference
Transportation to & from Hotel

YesNo
Cruise Preferences - Preferred Cruise Line(s)
Max - 3 choices
Cruise Loyalty Number(s) if applicable
Preferred Ports
Cabin Type

Inside CabinOcean View (Window) CabinBalconySuite
Does anyone traveling have a military background?

YesNo
Special Instructions (Food allergies, medical equipment (CPAP, wheelchair, walker, etc)
Activity Preferences: Spa, Golf, Mini Golf, Events, Shows, Excursion Preferences
Include Travel Insurance

AcceptDecline
Signature*

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Payment Preference

Pay in FullPayment Plan (if available)
Agent Fee

$50 1 - 4 Guests$100 5+ Guests
Agent Fee is fully refundable if you book the quoted trip through High Tide Travel Services once travel is completed. Fee is non-refundable if travel is not booked through High Tide Travel Services. Fee can be paid through Venmo, Paypal, Cash App or Zelle and will be fully refunded by the same payment method once travel is completed. Agent Fee is separate from the booking of the trip.

My committment to you, is that I will provide the highest quality of client service in quoting, booking and assisiting you with your travel arrangements.

I will provide an initial 2-3 intinerary quotes, followed by additonal research to find what you, as the client are specifically needing, if required.

I will be available to assist with any questions, important travel details, assist while on vacation through email or messenger, and I will follow up with you post travel.
DISCLAIMER: This form is a request for a travel quote and I am the client requesting the quote.

I understand there is a refundable agent fee IF I book my travel through High Tide Travel Services and that It is not refundable if travel is not booked through my agency.

This is a quote only and is not a contract to book with High Tide Travel Services.
Signature*

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