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27
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1
Email
*
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example@example.com
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2
Full Name
*
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Mr.
Mrs.
Dr.
Ms.
Miss
Mr.
Mr.
Mrs.
Dr.
Ms.
Miss
Prefix
First Name
Middle Name
Last Name
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3
Phone Number
*
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Area Code
Phone Number
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4
Do you possess a passport?
*
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Yes
Working on it
No
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5
What special ocassion would you be celebrating on your next trip? (Birthday, Anniversary, etc.)
*
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6
Where would you like to travel?
*
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7
What is your city, and state departure?
*
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8
Number of travelers? Adults? Children?
*
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9
When would you like to depart?
*
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-
Date
Month
Day
Year
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10
When would you like to return?
*
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-
Date
Month
Day
Year
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11
Are your dates flexible?
*
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Yes
No
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12
What is your budget for this trip (Per person)? **(please enter dollar amount & range)
*
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13
What kind of payment arrangements would you like?
*
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Book Now, Pay Now
Deposit Now, Pay Installments
N/A
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14
How will you travel?
*
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Plane
Auto
Other
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15
Is anyone in your traveling party......
*
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Over 55 years old
An Essential Employee
Military Personnel
AAA Member
None of the Above
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16
What atmosphere are you envisioning for your trip?
*
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Romance
Relaxation
Adventure/Lots to do
Cultural
Historical Significance
Party
Family Friendly
Food and Wine
LGBT
Other
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17
Please list anything you are hoping to see and do during your vacation.
*
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18
What type of accommodations are you hoping to fulfill?
*
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Moderate
Resort or hotel (meals not included)
All Inclusive
Boutique
Luxury
Private Apartment
Private villa
Other
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19
When envisioning your vacation, what are some of your "must haves" and your " I'd rather not have" items? Tell me anything else you think I should know.
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20
If you do not have a budget in mind, please chose from one of the following ranges
$1,500 pp
$2,500 pp
$3,500 pp
$4,500 PP+
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21
Would you like to be included in the LuvTravel email list to get the latest and up to date travel opportunities? (I promise no spam)
Duh, Yes, please!
No thanks
Yes, but please don't flood my email.
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22
Would you like LuvTravel to include a quote for travel protection?
Yes, I want to feel secure at all times.
No, I'll survive.
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23
Additional Comments:
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24
I understand I will be required to pay a $25.00 research fee to my travel specialist IF I decide I would like to receive quotes for my trip.
*
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Yes, I understand that time is valuable.
No, I'm not that serious about my trip.
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25
Consent
*
This field is required.
I consent to having LuvTravel collect my details via this form for the most amazing travel experience!
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26
How would you rate this experience, taking the time to tell me more about your travel needs and preferences?
1
2
3
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5
Satisfaction guaranteed.
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27
Image Field
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