Client Travel Details Form

Client Information Form

Thanks so much for your interest in Empowered Journey Travel! I'd love to learn more about you and your travel needs.
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
IMPORTANT: Please complete this form and schedule a complimentary 30 minute Zoom meeting so we can discuss your travel needs further.

Schedule 30 minute call here

If available times do not work for you, please email me your preferred meeting time at empoweredjourneytravel@gmail.com and I will try to accommodate a time slot that works for you.
Would you like to be included on my email list?

YesNo
Preferred Contact Method

EmailPhoneTextNo preference
Who referred you/how did you find Empowered Journey Travel?
Travel Dates available (from)

MonthDayYear
Date
To

MonthDayYear
Date
Are your dates flexible?

YesNo
Tell me more about your date flexibility... also, do your dates include travel days at beginning and end of the trip?

Trip protection is highly encouraged these days for non-refundable portions of your trip. Do you already have trip protection insurance for this trip?

yesno

Are you requesting Research Only, which provides recommendations but allows you to book your trip on your own? Research
I look forward to helping you curate unique memories and will be in touch shortly. Please note that I partner with worldwide travel brands as well as local partners. Prices will always be competitive with added value - but if you are price shopping for the cheapest bargain, my added value services may not benefit you.

For cruises, all inclusive packages, and private or group packaged tours, there is no fee for my services as the suppliers pay my commission. I would ask that you book these items through me rather than booking directly through the supplier after receiving my recommendations. Depending on the destination and your needs, my services can include but are not limited to travel protection, transfers, packing lists, international travel and airport tips, and unique extras that bring added value to your experience.

For fully independent trip plans, I am happy to research and provide recommendations and unique itinerary options, which you can use to make your own travel arrangements and reservations. If you're interested in this option, we can discuss further during our call. Thank you!
Are you interested in a trip package or prefer to book all reservations on your own?

I want a packaged cruise or organized land tourI want research & recommendations for a fully independent trip on my ownNot sure, let’s discuss
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Client Information Form