Customer Information Form
DATE COMPLETED
/
Month
/
Day
Year
Date
Name
First Name
Last Name
Phone:
Format: (000) 000-0000.
Email
example@example.com
Address
Vacation Budget:
Insurance
Yes
No (If no, obtain signed waiver)
Number of Adults
Number of Children and Ages
Departure Date:
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Month
/
Day
Year
Date
Return Date:
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Month
/
Day
Year
Date
Are Dates Flexible:
Ye s
No
Destinations of Interest
Air Travel
Departure City
Airline Preference (Frequent Flyer Programs)
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Cruise Vacation
Cruise Preferences (Frequent Cruiser Programs)
Desired Cruise Itinerary:
Cruise Length (Days/Nights):
Do you need lodging Pre and/or Post Cruise Dates:
Yes
No
Cabin Class
Beverage Plan:
Yes
No
Beverage Plan Type
Hotel and Resort Vacation
Hotel Preferences (Frequent Guest Programs):
# of Rooms/Arrangement:
# of Nights:
Features
Standard Room
Garden View
Ocean View/Front
Other:
All Inclusive
Adults Only
Family Friendly
Features
Suite/Jr Suite
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Standard View
Ocean View
Concierge Level
Any other desired activities:
Car Rental
Car Preferences (Frequent Renter Programs):
Car: Add-Ons:
Car Category
Compact
Mid Size
Full Size
Luxury
Other
Package Tour
Country or Countries of Interest
Do you require escort?
Escorted
Independent
Activity Level:
Other Information
What hotels have you stayed in and enjoyed?
What cruiselines and resorts have you enjoyed before, if any?
What activities do you enjoy when travelling? (check all that apply)
Sightseeing/History
Culture/Arts
Beach/Sun
Active/Sports
Wine/Culinary
Shopping
Spa
Golf
Water Sport such as Jet Skiing or Scuba Diving,
Entertainment/ Shows
Type of desired hotel/resort environment?
Quiet
Lively Parties
Any other significant details regarding your trip:
Submit
Should be Empty: