Rejuvenate Client Booking Request Form

Rejuvenate Travel

Booking Request Form
Professional Courtesy Request

Plese note that my services are Free and can take hours of research, which I do not get paid for. I work off commissions only and am only paid after you compleate your travel. As a small business owner I appreciate getting the oppertunity to eleviate your stress, saving you time and money, so you can have more fun and make amazing memories.
Client Information
Client Name*

First NameLast Name
Client Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Approximate Dates of Travel (Month/Year)*
If you have SPECIFIC dates, put that instead!
How many nights/days will this trip be?*
Example: 4 nights/5 days
Please ONLY select what you will need booked for this trip.*

FlightCruiseHotelCar RentalVacation PackageExcursionsTheme Park TicketsOther Activities
Travel Specifics

Please be as accurate as possible. We can always adjust dates if need-be but it gives me a starting point. Months or seasons are too generalized.
Total Number of Adults*
Total number of adults, including yourself
Number of Children, Including Ages
Example: 3 children; Ages 4, 12, 17
Are passports up to date (if required)?
Passports must not expire within 6 months of travel. Most closed-loop cruises do not require a passport.
Destination of Interest *
Vacation Budget*
Make sure budget is realistic for what you’d like to do.
Total BudgetPer Person
How soon are you looking to book your vacation?

Right away! Sign me up!1-3 months from now3-6 months from now6-12+ months from now
Are you interested in payment plans?

YesNoMaybe, tell me more
Air Travel
Will you need flights booked for this trip?*

YesNo
Departure City
Arrival City
Preferred Airline(s)
Frequent Flyer Program(s) and Number(s)
Known Travel Number for TSA Precheck
If you don't have it, it's $79 on TSA website and good for 5 years. Skip the line at the airport!
Seat Preference

First ClassBusinessCoachWindow SeatAisle SeatMiddle SeatNo PreferenceCheapest Seat
Cruises
Are you booking a cruise for this trip?*

YesNo
Cruise Type (select all that apply)

Family FriendlyDisneyAdults OnlySinglesOceanRiverLuxuryAdventure
Cruise Line Preference(s) and Frequent Cruiser Number(s)
Desired Cruise Itinerary
Cruise Length
Have you ever been on a cruise before?
Which city do you want to start your cruise from?
Cabin Preference on cruise ship?

Oceanview (No balcony)BalconyInside Cabin (No view or balcony)Suite
Do you want to add pre or post cruise nights?
We recommend flying into your port city a day before your cruise leaves due to unforeseen delays. Same with flying home.
Interested in beverage plans?

YesNo, we will pay as we go.Let's see what specials the cruise line has to offer!
Lodging
Will you need a place to stay for this trip?*

YesNo
Which types of lodging are you interested in?

All-InclusiveResortHotelVacation Rental HomeCampground/RV Park
Number of Nights
Number of Rooms
Do you have a particular place in mind already?
Name of resort, hotel, etc.
Are you a rewards member with any hotel, resort, etc?
If so, please list rewards name and number
Room Type (select all that apply)

StandardGarden ViewPool ViewOcean ViewCity ViewBalconyAdult OnlyFamily FriendlyWhatever is cheapest!Other
Sleeping Arrangements (select all that apply)

King BedQueen BedTwo Queen BedsTwo Double BedsTwo Twin BedsPull-Out Sofa
Amenities/Features

All-InclusiveFamily FriendlyAdult OnlyPoolHot TubAir ConditioningGymPet FriendlyKids ClubGolf CourseOn-site diningBar/LoungeBeachfront
Breakfast Included?

YesNoDoesn’t matter
Ground Transportation
Will you need transportation on this trip?*

YesNo
What type of transportation will you use during your vacation?

Rental CarAirport Shuttle to and from hotel (if available)
If needing a rental car, please select from the categories below:

CompactMidsizeFullsizeSUVMinivanFullsize VanConvertibleLuxury
Do you have a preference for rental car companies?
Do you have a frequent renter program number?
If so, which company and member number
Tours and Activities

*Only if applicable*
Are you interested in doing any tours?

Private TourIndependentlyEscorted in a groupNot interested
Tolerable Level of Activity
Example: Mild, Moderate, Strenuous
Types of activities you are interested in (select all that apply)

Sightseeing/HistoryCulture/ArtsNational ParksTheme ParksCulinary/WineShoppingSporting EventsConcertsShowsBeach/RelaxingSnorkeling/DivingSpa/RejuvenationAdventure/Zipline/HikingBroadway/Theater
Are you celebrating anything special this trip?
Example: Anniversary, Honeymoon, Destination Wedding, Birthday, Girls' Trip, Guys' Trip, Family Vacation, Music Festival, First Disney Trip, etc.
Any special instructions or additional information you would like me to know? Food allergies? Wheelchair accessibility?
Are you interested in saving on your own travel by becoming a travel agent?

Absolutely!Tell me more!No thank you!
Best email address to contact you? If you don’t hear from me within 5 days, please check your spam folder.
Best email address to send your quote:*
If you don’t receive a quote within 5 days, please check your spam folder. If still nothing, email, text, or call me!
Thank you!!

Please allow 3 business days to complete your quote! Thank you for trusting me with all of your travel needs! Please do not hesitate to reach out if you think of anything else!
Kimberly Lengenfelder

Independent Travel Agent

Rejuvenate Travel

(870) 321-4247

rejuvenatetraveler@gmail.com
Should be Empty:

Rejuvenate Travel

Client Information

Travel Specifics

Air Travel

Cruises

Lodging

Ground Transportation

Tours and Activities

Thank you!!