Travel Request Form

Travel Request Form

Please complete all fields with details about your travel needs.
Thank you for allowing Essence Expeditions to research your upcoming trip.

We will work to get you the best-valued package available that meets your needs. Please provide as many details as possible to aid in the booking of your travel, and you will be contacted within 24-48 hours to discuss your trip in detail. There is a $30 research fee that can be paid by cashapp @ $EssenceExpeditions. Please contact Lisa Moore with any questions by emailing youressenceexpeditions@gmail.com or calling (205)378-9380.
TRAVELER INFORMATION
Main Traveler Name (as it appears on your Passport or Government Issued ID)*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Additional Travelers (Click "Add Traveler" for each additional traveler)*
Please check the type of travel services you need (select all that apply):*

CruiseHotel/AccommodationsTravel InsuranceAll-inclusive GetawayOther
Type of Trip / Special Occasion (select all that apply)*

Special OccasionBusinessGetawayOther
Do any travelers have accessibility or special needs requirements?
*Please list any special needs requests here along with their names.
What is your max budget for this trip?*
*Per Person
What type of payment arrangement would you like?*

BOOK NOW, PAY NOWDEPOSIT NOW, PAY INSTALLMENTS
TRAVEL DETAILS
Departure City*
*Please list City & State or Airport you prefer.
Destination*
*Please list City and/or country you want to visit.
Departure Date*

MonthDayYear
Return Date *

MonthDayYear
Are Your Dates Flexible?

YesNo
Travel Request Form

Please complete all fields with details about your travel needs.
FLIGHT DETAILS
Do you require flights?*

YesNo
If Yes, please fill in all the fields below.
Preferred Departure Time*
*Please choose your preferred departure time.
Preferred Return Time*
*Please choose your preferred departure time.
Flight Options

NonstopDISABLED1 Layover2+ LayoverRed-Eye (Overnight)
Seating Preference

Aisle SeatMiddle SeatWindow Seat
Type of Class*
*If none is selected, default will be Economy.
TYPE OF CLASS WARNING!!! If you choose Basic Economy, please note that the Basic Economy fare may be lowest in price, but have multiple restrictions. The following restrictions are likely to apply to this type of airfare.

• Non Changeable or Refundable
• Carry On Restrictions & Baggage Fees
• No Preassigned Seats & Last Boarding Group
• Other restrictions may apply. Please check with the airline's policy for additional information.

If you do not agree to the Basic Economy Class restrictions, please select the next highest class which is Economy Class and that is what will be included in your quote.
Preferred Airline
*If you have a preferred airline, please list here.
Frequent Flyer Info
*If you have a frequent flyer account, please list here.
Travel Request Form

Please complete all fields with details about your travel needs.
ACCOMMODATIONS
Do you require accommodations (Hotel/Resort/Vacation Rental)?*

YesNo
If Yes, please fill in all the fields below.
Number of Rooms*
*Please list the number of rooms needed for your reservation.
Room/Bedding Type*
*Please select which bed/room type you prefer.
Preferred Hotel Brand
*If you have a preferred hotel brand, please list here.
Special Requests
*Please list any special requests you may have.
Hotel Rewards Info
*If you have a hotel rewards program, please list here.
Travel Request Form

Please complete all fields with details about your travel needs.
CRUISE INFORMATION
Are you requesting a Cruise?*

YesNo
If Yes, please fill in all the fields below.
Destination*
*Where would you like to sail to?
Duration*

2-5 Nights6-9 Nights10+ NightsOther
Departure Port*
*Please list your preferred departure port in city & state. Flights may be required if no departure port is available in your city or state.
Cabin Quantity *
*How many cabins will you need?
ATTENTION: Cabin Rates are based on double occupancy, unless booking a solo cabin, which is only available on certain cruiselines. Solo cabin rates are very limited.
Passenger Information (Click "Add Passenger" for each passenger & which cabin to place them in)*
Passenger Type (select all that apply)

MilitarySenior (55+)Other
Cruise Line
*Do you have a preferred cruise supplier?
Cruise Ship
*If you know the name of the ship you prefer, please list here.
Pre & Post Cruise Accommodations*

Pre CruisePost CruiseOther
Returning Passenger Number
*List any returning Passenger VIP #'s here.
Special Requests
*Please list any special requests you may have including health concerns, special accommodations, celebrations, etc.
Travel Request Form

Please complete all fields with details about your travel needs.
FINAL STEPS
Anything else you'd like us to know?
*Please indicate any other travel needs, details, health concerns or special requests for this trip.
Have you already researched pricing for this trip?*

YesNo
If yes, please provide the pricing you've obtained, in order for us to provide you the best value for your requested trip. *
Where and when was your original pricing from, as prices change daily? *
Before submitting, please read:

I acknowledge that the information I have provided is accurate to the best of my knowledge. I understand that my deposit, if trip is booked, is non-refunable and other cancellation penalties will apply depending on the cancel date. I understand that all monies must be paid by the final payment date, if my balance is left unpaid, my booking will be canceled and is non-refundable.

*If travel insurance is purchased, it may cover any non-refundable fees depending on Coverage and Cancellation Policy, minus the cost of Travel Insurance. For this reason, purchasing travel insurance is highly recommended.
Electronic Signature*

*Please provide an electronic signature
Click the Box*
Should be Empty:

Travel Request Form

Thank you for allowing Essence Expeditions to research your upcoming trip.

Travel Request Form

Travel Request Form

Travel Request Form

Travel Request Form