Client Cruise Intake Form
Client Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Todays Date
-
Month
-
Day
Year
Date
Travelers
Name (Must Match ID or Passport Info)
DOB
Age
Dietary Rest. Or Allergies
Traveler #1
Traveler #2
Traveler #3
Traveler #4
Accommodation: How many staterooms will be needed? If more than one, kindly specify the guest for each room to ensure accurate pricing.
Stateroom Preferences: Are there any specific stateroom types you prefer? Options include balcony, interior, ocean view, or suite. Please make note of any accessibility requirements.
Duration: How many days would you like your cruise to be? (3-5 nights) (5-7 nights) (7-10 nights)
Timing: Do you have a specific time frame for travel in mind?
Departure Port: Where would you prefer to embark from on your cruise? Are you looking for a port that is close and convenient or are you flexible with your location?
Destinations: Are there any specific locations or regions you would like to visit during your cruise? Do you have any must-see landmarks, ports, or attractions in mind?
Cruise Line Preference: Please let me know if you have any cruise line preference in mind or if you are open to various options.
Cruise Line Loyalty Number: If you have cruised before, please enter the cruise line and your loyalty number.
Experience Preferences: What kind of experiences are you seeking? For example: are you interested in adventurous activities, cultural immersion, relaxation, wildlife encounters, or a combination. Please be as specific as you can. (These come at an additional charge to your cruise fare)
Additional Amenities: Are there any specific amenities onboard or services that you would like to have? Examples include spa services, fine dining options, fitness center, entertainment shows, or adult-only experiences. (Some of these are only offered at an additional charge to your cruise fare)
BUDGET: What is your approximate budget? This will help me narrow down the options and suggest suitable options.
Additonal Lodging: Would you need additional lodging for before or after your cruise? If so, how many nights for each?
Transportation: Would you like airline tickets included in your transportation to getting you to your port or do you intend to drive to you port location?
Submit
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