Trip Interest Questionnaire
Welcome! I'm thrilled to assist you in planning your incredible vacation! To kick things off, I'll need some basic information about you and your trip. No worries if everything isn't fully fleshed out yet – that's what I'm here for! The form below is designed to give me a sense of what you have in mind. Rest assured, your privacy is my top priority! Any information you provide via our secure form will be used solely for travel planning purposes with us. It will only be shared with suppliers and vendors as necessary to arrange or book your travel. I will never sell or disclose your information to third parties.
Contact Information
Your Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prefix
First Name
Last Name
Suffix
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email Address
*
example@example.com
Best Contact Phone Number:
*
Format: (000) 000-0000.
Preferred Contact Method:
Email
Phone
No Preference
Best Time to Contact:
Morning
Evening
Afternoon
Basic Trip Information
Interested in Booking: (Check All that Apply)
*
Flight
Room Accomodations
Rental Car
Cruise
Preferred Departure Airport (if any)
Arriving to
Departure Date:
-
Month
-
Day
Year
Date
Return Date:
-
Month
-
Day
Year
Date
Are Your Travel Dates Flexible:
*
Yes
No
Maybe
Budget for Vacation:
Please select an option
Budget - Less than $1000 per person
Moderate - $1000 to $5000 per person
Luxury - Over $5000 per person per trip
Payment Options
Full payment
Deposit with Payment Plan
Monthly Payments
Traveler Information
# Adults
*
# Children
*
Traveler Information (please fill out for any travelers you know)
Rows
Full Name
DOB
Passport #
TSA Precheck #
Traveler #1
Traveler #2
Traveler #3
Traveler #4
Traveler #5
Traveler #6
Traveler #7
Traveler #8
Traveler #9
Traveler #10
Childrens' Ages (if applicable)
Applicable Discounts: (Check all that Apply)
AARP Senior Discount
Military Discount
Other
Membership Number: (if applicable)
Are Passports Updated?
Please Select
Yes, they are up to date.
No, they need to be updated.
Some travelers need passports or updates.
No, we do not have passports.
Airline Preferences
Preferred Airline (if applicable)
Please Select
Air Canada
Alaska Airlines
American Airlines
British Airways
Delta Airlines
Frontier Airlines
Hawaiian Airlines
JetBlue Airlines
Lufthansa Airlines
Southwest Airlines
United Airlines
Mileage Rewards Number (if applicable)
Preferred Class (if applicable)
Please Select
Basic Economy/Coach
Economy Plus/Premium Economy
Business Class
First Class
Departure Times
Early Morning (12AM-5:59AM)
Morning (6AM-11:59AM)
Afternoon (12PM-4:59PM)
Evening (5PM-8:59PM
Late Evening (9PM-11:59PM)
Arrival Times
Early Morning (12AM-5:59AM)
Morning (6AM-11:59AM)
Afternoon (12PM-4:59PM)
Evening (5PM-8:59PM
Late Evening (9PM-11:59PM)
Seat Preference
Please Select
Window
Aisle
Anything else I should know?
Car Rental (if applicable)
Company Preference (if applicable)
Please Select
Advantage
Alamo
Avis
Budget
Enterprise
Hertz
National
Thrifty
Vehicle Type
Please Select
Compact
Economy
Full Size Car
Full Size SUV
Full Size Van
Luxury Car
Luxury SUV
Midsize Car
Midsize SUV
Minivan
Standard SUV
Large Group Transportation (Check all that apply)
Charter Bus
Multiple Cars/SUV
Large Vans
Limousine/Party Bus
Insurance
Yes, I have my own full coverage policy.
No, I need to purchase from rental company.
Accommodations
Property Star Rating
1
2
3
4
5
Property Type
Apartment
Bed & Breakfast
Condominium
Hostel/Backpacker
Hotel
Resort
Vacation Rental (i.e. AirBNB)
Property Amenities
Adult Only
All Inclusive
Air Conditioning
Children's Amenities
Free Breakfast
Free Transportation
Free Parking
High Speed Internet
Kitchen
Entertainment
Pets Allowed
Pool
Spa & Fitness
Room Type
Please Select
King Bed, Smoking
King Bed, Non-smoking
Double Beds, Smoking
Double Beds, Non-Smoking
Suite, Smoking
Suite, Non-Smoking
Room View
Please Select
Cityview
Garden View
Mountain View
Oceanfront
Oceanview
Pool View
Resort View
Accessibility
Accessible Bathroom
In-room Accessibility
Roll-in Shower
Wheelchair Accessible
Rewards # (if applicable):
Need to be close to specific venue or area? Enter it here:
Cruise Information (if applicable)
Cruise Line Preference
Please Select
Azamara Cruises
Carnival Cruises
Cunard Cruises
Disney Cruises
Norweigian Cruise
Princess Cruises
Royal Caribbean Cruises
Type a question
1
2
3
4
5
Cruise Rewards #:
Preferred Departure Port:
Please Select
Alabama – Mobile – Port of Mobile
California – Long Beach – Port of Long Beach
California – Los Angeles – Port of Los Angeles
California – San Diego – Port of San Diego
California – San Francisco – Port of San Francisco
Florida – Fort Lauderdale – Port Everglades
Florida – Jacksonville – JAXPORT Cruise Terminal
Florida – Miami – Port of Miami
Florida – Port Canaveral – Port Canaveral
Florida – Tampa – Port of Tampa
Hawaii – Honolulu – Honolulu Harbor, Oahu
Louisiana – New Orleans – Port of New Orleans
Maryland – Baltimore – Port of Baltimore
Massachusetts – Boston – Port of Boston
New Jersey – Bayonne – Cape Liberty
New York, New York – Port of New York – Brooklyn
New York, New York – Port of New York – Manhattan
Oregon – Portland – Port of Portland
Puerto Rico – San Juan – Port of San Juan
South Carolina – Charleston – Port of Charleston
Texas – Galveston – Port of Galveston
US Virgin Islands – St Thomas – Charlotte Amalie Harbor
Virginia – Norfolk – Port of Norfolk
Washington – Seattle – Port of Seattle
British Columbia -Vancouver – Port Metro Vancouver
Nova Scotia – Halifax – Port of Halifax
Ontario – Toronto – Port of Toronto
Quebec – Montreal – Port of Montreal
Quebec – Quebec City – Port of Quebec
Cabin Preference
Please Select
Balcony
Inside Cabin
Outside Cabin
Suite
Dining Preference
Please Select
A La Carte Dining
Scheduled Dining
Activities
Interested in These activities (Check All That Apply):
Concerts & Shows
Private/Romantic
Shopping
Sightseeing & Tours
Theme Parks
Water Sports
All Other Information
What else is important for me to know?
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