Memory Makers Travel

Travel Quote Request Form
Thank you for allowing Memory Makers Travel to research a quote for your upcoming travel plans and experience. I will work to get you the best price available. Please take your time and completely fill out the Travel Quote Request Form with as much detail about the type of vacation you would like, and you will be contacted within 3 business days with a quote. If you have any additional questions, please email jeannine.burgett@gmail.com.

I look forward to helping with helping you travel the finest way to travel!
Your Contact Information
Name as on your travel documents:*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Date of Birth:
Are you a US Citizen?
Phone Number*

Area CodePhone Number
Email*
example@example.com
PhoneEmailEither
Your Travel Plans
Where Would You Like to Travel? What kind of activities or excursions do you want to do there?
What Airport Would You Like to Depart From?*
If flights are not needed indicate N/A
Departure Date*

MonthDayYear
Date
Return Date*

MonthDayYear
Date
International TourAll Inclusive VacationCruise TravelHotel & Flight OnlyHotel Only
SECOND PASSENGER: Name exactly as on Travel Documents

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth
US Citizen? Y/N
Phone Number

Area CodePhone Number
Email
example@example.com
Is this a large group? (12 or more)
Total Adults Anticipated- If Known:
Total Number of Children?*
Please put any additional information you would like to add about the trip you want to plan here:
How Many Rooms May Be Needed?*
Please specify specific room needs here: Especially if you have specific mobility or accessibility needs.
Complete This Section If Flights Are Needed
1st ClassBusiness ClassEconomyOther
Please clarify specific flight needs (bulkhead, close to BR, close to exit, window, aisle, WC or scooter being checked at gate or brought into cabin, are you bringing a battery for a scooter?
Shuttle to and from airportRental CarLimousineNot NeededOther
If other, please clarify specific transportation needs.
Please enter known traveler numbers, passport numbers and expiration dates here.
Names and Information of Additional Travelers

Additional Travelers: Enter in this form or fill out a separate profile on each passenger through my CRM weblink at: https://tinyurl.com/28yge4q3
Name

First NameLast Name
Birthdate

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Traveler 2

Passenger 2
Name

First NameLast Name
Birthdate

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Additional Travelers - Please use same format as above.
Complete This Section For Cruises Only
PersonalFamilyOrganized Group Cruise (Friends, Family, Organization, Business)
Do You Have A Specific Cruise In Mind? Do You Know The Cruise Line/Ship?
Cruise Destination?
What State, City Would You Like To Depart From?
How Many Passengers?
How Many Passengers Are Children?
What Are The Children's Ages? (At The Time of Travel)
Interior (No Windows)Ocean View (Window)BalconySuiteVirtual BalconyFully Accessible CabinAmbulatory Accessible Cabin
Are You Interested In any Specific Excursions? Do you need any accommodations for excursions?
Before CruiseAfter CruiseNot Needed
Do you have any special cruising memership numbers, AAA numbers, AARP membership, Mililtary service, Senior Discounts?
Complete This Section If You Need a Hotel/Resort
All-InclusiveStandard HotelResortBed & BreakfastCondoOther
Please clarify any accessiblity needs at resort such as beach wheelchair, pool access or elevator needed, special diets ets.
Ocean ViewBalconyBeach FrontSwim UpStandard
King Bed2 Queen Beds1 Double BedRoll In Shower -no stepAccessible Bathtub with seatShower with grab bars - can transfer to a shower chairBring my own shower chairNeed hotel to provide shower chairNeed hotel to provide bath seat
YesNoNo Preference
Vacation Experience
Adult OnlyFamily FriendlyRomanceWedding/HoneymoonCultural ImmersionShoppingBeachTours/ExcursionsWildlifeGolfFine DiningMuseums/HistoricOther
If Other please specify trip goals and needs.
Your Budget Is Very Important
I will do my best to search for the most value for your price point, but I ask your expectations to be realistic to match your budget.
I am all about quality, price is not a concernI am looking for the most economical deal
What's Your Estimated Budget Per Person? *
Today1-2 Weeks30 Days
What Do We Need To Know About You, Passengers, This Trip, Preferences, Etc. (Ex. Birthday, Special Accommodations)
Any Special Occasion/ Announcements For This Trip?
This is a quote request only. Quotes are subject to change until the time of booking. Please keep in mind, as you review/discuss/research other options; airfare may increase, rooms and cabins may be otherwise reserved.

We suggest planning your trip well in advance to take advantage of flexible payment plans.
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Travel Quote Request Form

Your Contact Information

Your Travel Plans

Complete This Section If Flights Are Needed

Names and Information of Additional Travelers

Traveler 2

Complete This Section For Cruises Only

Complete This Section If You Need a Hotel/Resort

Vacation Experience

Your Budget Is Very Important