Intake form

1

Name:* This field is required.

2

E-mail address: * This field is required.

example@example.com

3

How can we help you?* This field is required.

Booking a hotel - I know where I want to book

Booking a hotel - I want to know my options

Vacation Planning - I want help with my vacation

Other

4

Where do you want to go? * This field is required.We can also help with this -- make sure to fill out the questions 6-8 if you would like our help.

Feel free to share a city, country, or a specific hotel

5

Do you have specific dates in mind? (if so, please list them below)* This field is required.

If you are flexible let us know as much as you know

8

Optional: To help us better understand your budget, what would you like to spend per night on a hotel?

$200-$400

$400-$600

$600+

9

Please verify that you are human* This field is required.