Travel Planning Inquiry & Agreement Form
Please fill out the form below to help us understand your travel needs and preferences.
Client Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Text
Best Time to Contact
Are you a returning client?
*
Yes
No
Travel Details
Destination Interests
*
Dates of Travel
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Number of Travelers
*
Ages of Travelers
*
Departure City/Airport
*
Desired Budget
*
Special Interests & Needs
Health, Dietary, Mobility, or Wellness Concerns
Specific Experiences Desired
Research & Planning Fee Agreement
Research & Planning Fee Agreement Terri Tubolino – Teramisu Wellness & Travel To ensure every experience is thoughtfully prepared and aligned with your wellness or travel needs, a non-refundable Research & Planning Fee is required before services are rendered. This fee covers time spent on consultation, itinerary design, wellness session customization, and resource coordination. Wellness & Group Session Rates: Private or Small Group (up to 4 people): $50 per session Larger Group (5+ people): $100 per session This structure allows for the personalized care, space, and time necessary to deliver high-quality, meaningful experiences. By booking a service, you agree to this fee and understand it is separate from any additional service or travel costs.
Payment & Signature
Agreement to Pay Fee
*
I agree to pay the research fee
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Payment Method
*
Please Select
Credit Card
PayPal
Bank Transfer
Next Steps
Submit
Should be Empty: