• Client Intake Form

    Client Intake Form

    Thank you for choosing NautiTrip by Trish for your travel needs and more.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Do you have a passport?
  • Are you interested in information in regards to a passport?

  • Additional Travelers Information

    This section needs to be completed for every traveler (Adult and Children)
  • Special Accommodations - Traveler Name and Accommodation

  • Booking Information

  • Travel dates
  • What are we booking?

  • Are you celebrating any special occasions for this trip? (Please list each occasion and date separately)
  • Will you be traveling with any Service Animals?
  • Will you be traveling with any pets?
  • Any Travelers with military background?

  • Air Travel

    Optional - Please complete this section if you checked "Flight" in previous Booking Information section.
  • Departure
  • Destination
  • Flight information
  • Airline Rewards - List Airline Name and your Rewards #
  • Air Seating Preference

  • Hotel

    Optional - Please complete this section if you checked "Hotel" in previous Booking Information section.
  • Hotel Rewards - List Hotel Name and your Rewards #
  • Hotel Room Preference

  • Number and Type of Rooms required for this trip?

  • Car Rental

    Optional - Please complete this section if you checked "Car Rental" in previous Booking Information section.
  • Rental Car Rewards - List Agency Name and your Rewards #
  • Car Preference

  • Cruise

    Optional - Please complete this section if you checked "Cruise" in previous Booking Information section.
  • Would this be your first cruise?
  • Cruise Line Rewards - List Cruise Line Name and your Rewards/Past Guest #
  • Other Preferred Ports
  • Cabin Type
  • Number and Type of Cabins required for this trip?
  • Will you need Port Transfers or Parking at/near port?

  • Final

    Optional - Please complete this section to tell me more about you and your trip.

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  • Thank you so much for taking the time to complete the intake form. Once you click the submit button, your information will be sent to me. Please allow 1-2 business days for me to review and research options for you. If you have an urgent need, please do not hesitate to contact me at 469-777-8685.

    Once again Thank You!  

    Trish Cousins
    Your Dream Vacation Designer
    NautiTrip by Trish
    An Affiliate Agent of Cruise Brothers
    469-777-8685 | TrishC@NautiTrip.com
    Specializing in Family and Luxury Cruises and Land Vacations

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