Travel Planning Questionnaire
Hi there! I’m thrilled that you’re here. My passion is traveling, and my goal is to bring to life dream vacations for everyone I have the privilege of working with. I specialize in the Caribbean, Mexico, and Costa Rica destinations, and I would love to help you plan your perfect getaway! To get started, I’ll need some information from you. Please fill out the form below, and let’s begin crafting your unforgettable adventure! If you have any other questions/concerns, please reach out to me at: haley@haleyscosmictravel.com
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Number of travelers? (Please provide childrens ages, if applicable)
*
What Would You Like Included in Your Quote? (Please select all that apply)
*
All-Inclusive
Hotel Only
Hotel & Car
Flights
Vacation Homes & Villas
Tours, Excursions
Cruise
Other
Where would you like to travel?
Preferred departure date
*
-
Month
-
Day
Year
Date
Preferred return date
*
-
Month
-
Day
Year
Date
Are your dates flexible?
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Yes
No
Maybe
What is your city of departure?
What is your budget for this trip?
*
Any special requests or needs? (ex: accessibility, dietary restrictions, etc.)
Feel free to share any other details or preferences that will help me tailor your vacation to your exact desires. The more I know, the better I can create a personalized and memorable experience for you! I can't wait to start planning your dream vacation!!
Travel Insurance? Highly recommended to protect you from beginning to end. If no, please be advised that you may not receive a refund should you cancel your trip.
*
Yes, please include travel insurance!
No, I do not want to include travel insurance and I understand that I may not receive a refund should my vacation be cancelled for any reason.
Will get back to you at a different time.
Travel Agent Planning Fee Agreement:
*
Yes
No
Need More Information
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