Form
Serenity Travel Customer Information Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Budget
Number of Adults
Number of Children
Ages of Children
Travel Insurance
Yes (Recommended)
No
Dates of Travel
Flexible
Yes
No
Destinations of Interest
HOTEL & RESORT VACATION
Number of Nights
Back
Next
Hotel Preferences (Include any Frequent Guest Programs)
Number of Rooms/Arrangements
Room Choices
Standard Room
Garden View
Ocean View/Front
Other
Type of Vacation
All Inclusive
Adults Only
Family Friendly
Features
Suite/Jr Suite
On the Beach
Near City Centre
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities on site
Standard View
Ocean View
Back
Next
CRUISE VACATION
Cruise Liner Preferences & Frequent Cruiser Programs
Cruise Intinerary
Cruise Length
Pre & Post Cruise Nights
Yes
No
Cabin Class
Beverage Plan
Yes
No
Beverage Plan Type
AIR TRAVEL
Departure City
Airline Preference & Frequent Flyer Program
Seat Preference
Economy
Premium/Extra Leg Room
Business Class
First Class
Aisle
Middle
Window
Bulkhead
Forward
Wing
Back
Next
CAR RENTAL
Car Preference & Frequent Rental Programs
Car Category
Compact
Mid Size
Full Size
Luxury
Other
PACKAGE TOUR
Country or Countries of Interest
Escorted
Independent
TELL ME MORE ABOUT YOU
What hotels, if any have you stayed in before and enjoyed ?
What Cruise Lines, if any have you enjoyed before ?
What Activites do you enjoy when travelling ?
Sightseeing/History
Wine/Culinary
Culture/Arts
Type option 4
Shopping
Beach/Sun
Spa
Active/Sports
Notes:
Date
Submit
Should be Empty: