The Travelling Skillywiddons
CUSTOMER INFORMATION FORM
Date Completed
-
Month
-
Day
Year
Date
Client Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
County
Post Code
Holiday Budget
*
Number of Adults
Number of Children
Children Ages
Holiday Start Date
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Day
-
Month
Year
Date
Holiday End Date
-
Day
-
Month
Year
Date
Destination of Interest
Insurance
Please Select
Yes I will arrange
Yes Id like to purchase
No and I will sign a waiver
If no insurance bought a signed waiver is required
Air Travel
Preferred Departure City / Cities
Airline Preference (Frequent Flyer Programs)
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Bulkhead
Forward
Wing
Will arrange own Air
Hotel and Resort Holiday
Number of Nights
Hotel Preferences (Frequent Guest Programs)
# of Rooms/Arrangement
Please note if you require connecting rooms.
Bed Preferences
Twin, Double, King
Features
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
Villa / Apartment Stay
Number of Nights
Villa or Apartment
# of Rooms/Arrangement
Please note if you require connecting rooms.
Bed Preferences
Twin, Double, King
Features
Garden View
Ocean View/Front
Adults Only
Family Friendly
On the Beach
Near City Center
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Swimming Pool
Self catering with Kitchen
Access to resort restaurants
Chef to cater
Other
Car Rental
If want Chauffeur tick below
Car Preferences (Frequent Renter Programs)
Add-Ons
Car Category
Compact
Mid Size
Full Size
Luxury
Not required
Would prefer chauffeur option
Other
Package Tour
Country or Countries of Interest
Type of sightseeing / arrival
Escorted
Independent
Other Information
What hotels have you stayed in and enjoyed?
How many days do you want to do activities if any?
What activities do you enjoy when travelling?
Sightseeing/History
Culture/Arts
Beach/Sun
Active/Sports
Wine / Culinary
Shopping
Spa
Other
What will be your method of payment? Important as not all partners take Amex.
Please Select
Bank transfer
Mastercard / Visa
American Express
Additional Notes - Special Occassion, Must sees, Essential hotel or flights requirements etc
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