Trip Booking
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Primary Contact - Name
*
First Name
Last Name
E-mail
*
example@example.com
Primary Contact - Number
*
Number of Guests Traveling
*
Preferred Method of Communication
*
Please Select
Email
Text
Phone Call
Trip Type
*
Cruise
Singles Trip
Couples Trip
Group Trip
All Inclusive Destination (Flight/Transfer/Hotel)
Group Hotel Booking (Family Trip or Conference)
Other
Travel Guest Room Type (s)
*
Please Select
Cheapest option
Standard Room (1 to 2 People)
Family Room (1 to 4 People)
Suite Room (1 to 3 People)
Do you have a preferred airline, hotel, or departure city? (Please list all details)
*
Departure Date/Trip Dates
*
Airport Transfer?
*
Yes Please! - Pick me up on arrival
No Thanks - I'll make my own way there
Trip Insurance (Strongly recommended)
*
Yes Please!
No Thanks - I'll take the chance
Not sure, depends on trip total price
Add NAMES and Date of BIRTH for every person traveling with you on this trip
*
Special Requests (Any additional details to make this trip memorable is welcomed. I.e. birthday trip, anniversary, etc)
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Administrative Membership Fee
As part of our commitment to providing quality services and streamlined support, Anchored Connexions requires an annual administrative membership fee of $100. This fee helps ensure continued access to our resources. We appreciate your support and look forward to serving you. If you have any questions, please feel free to contact us. Thank you for being a part of Anchored Connexions!
Annual Membership Fee
*
I accept
I decline
By signing you are agreeing to the $100 annual membership fee. Signature
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