Customer Information Form

Customer Information Form

Complete form and pay admin fee to get started. Quotes will not be drawn up until payment is received. Save my email address to your contacts to ensure you don’t miss anything from me: travelwithnish247@gmail.com
Vacation Quotes

- I ask that you allow 3-5 business days for a response with quotes to the email that you have provided below.

Secure your dream vacation

- To secure the quoted price sent to you, you must provide a deposit or pay in full depending on the timeline of travel.

Payment

- After vacation quote is agreed upon, all payment information will be required to be processed to the selected vendor. There will be credit card authorization form provided for each person responsible for payment.

Travel with Nish will never sell or provide your personal information to anyone, or any company. Your personal privacy is valued.
Today’s Date

MonthDayYear
Date
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What do you need assistance with (check all that apply)?

Other
What is your budget (per traveler)?
Would you like to add travel insurance? If no, you must sign a waiver.
Where are you traveling from and what’s your final destination?
Date (Departure)

MonthDayYear
Date
Date (Return)

MonthDayYear
Date
How many adults?
How many children?
Full names and DOBs for all travelers.
Anyone traveling over the age of 55?
Does anyone traveling have a Military background?
Include additional information here (i.e. Passport number, frequent flyer/cruise/hotel programs, hotel and/or car rental preferences, excursions, etc.).
For Cruises Only

(Complete only if it applies to your trip)
Stateroom Type
Porting from
Preferred Cruise Line
Follow-up Appointment
Administration Fee Breakdown

(To avoid multiple purchases, click the appropriate bubble that matches your number of travelers. No need to add a quantity once selected. Administration fee includes three quotes, is subject to change without notice, and varies upon the number of travelers. Additional/revised quotes (i.e. changes, new destinations, accommodations, etc.) will incur a $30 fee and a new Customer Info Form will be required. In this case, please select the Admin Fee that reads “ Admin Fee Revision/Additional Quotes” to indicate your need and add the number of additional quotes you’d like in the “Quantity” section. Be advised that quotes WILL NOT be provided without payment).

Admin Fee

1-3 travelers

$50.00 Quantity

Admin Fee

4-6 travelers

$75.00 Quantity

Admin Fee

7-9 travelers

$100.00 Quantity

Admin Fee

10+ travelers

$125.00 Quantity

** Admin Fee **

Revision/Additional Quote(s) (up to 3)

$30.00 Quantity

Total

Payment Methods

Credit Card

Cash App Pay

Signature to authorize payment
Should be Empty:

Customer Information Form

For Cruises Only

Administration Fee Breakdown

Payment Methods