Xstream Paycation Travel Booking Request Form

Landers Travel Co.

Client Application
Contact Info

First NameLast Name
Best Contact Number

Area CodePhone Number
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Verify Email
Total Number Of Adults
Adults Names and DOBs
Total Number Of Children
Chrildren Names And DOBs
Type Of Travel
Special Occassion (Birthday, Honeymoon, Destination Wedding, Music Festival, ...
Destination
Preferred Hotel . Resort
All Inclusive
Adult Only Or Kid Friendly
Flight Only
Include Flight
Round Trip Flight
Fight Departure And Arrival City
Number Of Rooms
Size of Group
King / Double /Suite /Penthouse
Special Rates AAA, Military, Government, etc
Transportation To And From Hotel
Cabin Type (If Applicable)
Porting From (Cruises)
Travel Dates
Estimated Trip Budget (US Dollars)
Preferred Cruise Line (if applicable)
Have You Been On A Cruise Before?
If Yes, Which Cruise Line?
Is Anyone Traveling Over The Age Of 55?
Does Anyone Traveling Have A Military Background?
Special Instructions
Activities: Spa, Golf, Excursion, Activities, Event Ticket, Shows, etc
Include Travel Insurance
Payment Plan
Research fee $75.00 Must be paid before agent begins planning.
Payment Selection
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Landers Travel Co.