TRAVEL INQUIRY
Form
Date Completed
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
Email
example@example.com
Phone
Format: (000) 000-0000.
Address
Vacation Budget
Insurance
No (if no, obtain signed waiver)
Number of Adults
Number of Children & Ages
Dates of Travel
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Dates of Travel
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Flexible
Yes
No
Destination
AIR TRAVEL
Departure City
Airline Preference( Frequent Flyer Programs)
Seat Preference
Business
Premium
Economy
First Class
Aisle
Middle
Window
Bulkhead
Forward Wing
CRUISE VACATION
Cruise Preference( Frequent Cruiser Programs)
Cabin Itinerary
Cruise Length
Pre and Post Cruise Nights
Yes
No
Cabin Class
Beverage Plan
Yes
No
Beverage Plan Type
HOTEL & RESORT VACATION
No. of Nights
No. of Rooms /Arrangements
Hotel Preferences (Frequent Guest Programs)
Room Features
Standard
All Inclusive
Suite/Jr. Suite
Near Air/Cruise Port
Garden View
Ocean View/Front
On the Beach
Adults Only
Luxury Resort
Family Friendly
Near City Centre
Activities on Site
Kids Club
Other
Concierge
CAR RENTAL
Car Preferences (Frequent Renter Programs)
Add Ons
Car Category
Compact
Mid Size
Full Size
Luxury
Other
PACKAGE TOUR
Country or Countries of Interest
Tour Type
Escorted
Independent
Other
Activity Level
OTHER INFORMATION
What hotels have you stayed in and enjoyed?
What cruise lines have you enjoyed before,if any?
What activities do you enjoy when traveling?
NOTES
Submit
Should be Empty: