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Customer Information Form
DEPOSITS: *Any trip that is 45-60 days away will require payment in FULL. Deposit will not be an option. *Deposits can range from $50-$500 per person.After your quote is submitted, the price is subject to change until a deposit is made. *To guarantee and lock in your price, request a quote when you are able to make the deposit.
Date Completed
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Month
-
Day
Year
Date
Client Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Destination of Interest-option #1
Destination of Interest-option #2
Vacation Budget Range
Number of Adults
Number of Children
Children Ages at time of departure
Vacation Start Date
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Month
-
Day
Year
Date
Vacation End Date
-
Month
-
Day
Year
Date
Are your dates flexible and if so, what are your alternate dates of choice?
Air Travel
Airline Preference (Frequent Flyer Programs)
If you have a preference.
Departure City
If you have more than one option please list them.
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Bulkhead
Forward
Wing
Cruise Vacation
(Please skip to Hotel and Resort Vacation if a Cruise is not of interest to you)
Cruise Line Preferences (Frequent Cruiser Programs)
Cruise Length
Cruise Itinerary
Pre and Post Cruise Nights
Yes
No
Cabin Class
Beverage Plan
Yes
No
Beverage Plan Type
Hotel and Resort Vacation
Number of Nights
Hotel Preferences (Frequent Guest Programs)
# of Rooms/Arrangement
Room and Resort Type
Standard Room
Garden View
Ocean View/Front
All Inclusive
Adults Only
Family Friendly
Suite/Jr Suite
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Standard View
Ocean View
Other
Car Rental
If you would like car rental added to your trip
Car Preferences (Frequent Renter Programs)
Add-Ons
Car Category
Compact
Mid Size
Full Size
Luxury
Other
Package Tour
Country or Countries of Interest
Tour Types
Escorted
Independent Activity Level
What activities do you enjoy when travelling?
Sightseeing/History
Culture/Arts
Beach/Sun
Active/Sports
Wine/Culinary
Shopping
Family Fun
Water Sports
Other
Other Information
Payment Method of Choice
Deposit now, Installment Plan
Uplift (Monthly Payments)
Pay In Full
Do you and your passengers have a passport?
Yes
No
What hotels have you stayed in and enjoyed?
What cruise lines and resorts have you enjoyed before, if any?
Are you deposit ready? If not, when will you be ready to make a deposit for your trip?
Additional notes to help me make your destination experience divine!
Signature
Date
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