Travel Intake Form
Thera Quest
Thank you for allowing Thera.Quest to research a quote for your upcoming travel plans and experience. We have access to exclusive discounts not shared to the public on hotels, flights, cruises, attractions and MORE up to 60% OFF!! I will work to get you the best price with the most value available. Please fill out this Intake Form, and you will be contacted within 3 business days with a quote. If you have any additional questions, please email theraquest.travel@gmail.com. I look forward to helping you experience only the best as you and your loved ones create memories.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Preferred Method of Contact
*
Email
Phone
Either
Your Travel Plans
Where would you like to travel?
*
What airport would you like to depart from?
*
Departure Date
*
-
Month
-
Day
Year
Date
Return Date
*
-
Month
-
Day
Year
Date
What type of vacation are you planning?
Disney/Universal Vacation
Hotel & Flights Only
Cruise Travel
Hotel Only
All Inclusive Vacation
Honeymoon/Destination Wedding/Anniversary
Other
How many adults?
*
How many children?
*
How many rooms?
*
What are the ages of the children? (At the time of Travel)
Complete this section if flights are needed.
What do you prefer?
First Class
Business Class
Economy
Will you require transportation?
Shuttle to and from airport
Rental Car
Limousine
Not needed
Complete this section for Cruises Only
Type of Cruise
Personal
Family
Organized Group Cruise
Do you have a specific cruise in mind? Do you know the cruise line/ship?
Cruise Destination?
What state, city would you like to depart from?
How many passengers?
How many passengers are children?
What are the children's ages? (At the time of travel)
What is your Cabin Preference?
Interior (No Window)
Ocean View (Window)
Balcony
Suite
Are you interested in Excursions?
Would you need hotel accommodations?
Before Cruise
After Cruise
Not Needed
Complete this section of you need a Hotel/Resort.
Resort Type
All-Inclusive
Standard Hotel
Resort
Bed & Breakfast
Condo
Preferred Room View
Ocean View
Balcony
Beach Front
Swim Up
Standard
Preferred Bedding
King Bed
2 Beds
2 Beds and a Pull Out Sofa
Want an adult only resort?
Yes
No
No Preference
Your Budget is Very Important
I will do my best to search for the most value for your price point, but I ask that your expectations to be realistic to match your budget.
Which best describes your price point?
*
I am all about quality, price is not a concern
I am looking for the most economical deal
What's your ideal budget per person?
*
What do we need to know about you, the passengers, this trip, preferences, etc. (Ex. Birthday, Special Accommodations)
This is a quote request only. Quotes are subject to change until the time of booking. Please keep in mind, as you review/discuss/research other options; airfare may increase, rooms and cabins may otherwise be reserved.
We suggest planning your trip well in advance to take advantage of flexible payment plans.
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TheraQuest Agent Fee
$
150.00
Thank you for trusting me to curate your perfect vacation! A non-refundable booking fee is required to begin planning, covering: *Custom itinerary design * Extensive research & best rates *Seamless bookings & exclusive perks *Ongoing support before & during travel. This ensures a stress-free, tailored experience just for you. Let’s plan your dream getaway!
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Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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