Customer Information Form
Holiday Quotation
Date Completed
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Client Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Holiday Budget
*
Number of Adults
Number of Children
Children Ages
Holiday Start Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Holiday End Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Is there any flexibility on the above dates?
Destination of Interest
Travel Insurance
Please Select
Yes I will arrange
Yes I'd like to purchaser
No and I will sign a waiver
Air Travel
Only complete if relevant
Preferred Departure City/Cities
Airline Preference
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Wing
Priority Boarding
Will arrange own flights
No seat selection required
Transfers
Do you require transfers?
Yes
No
If yes, what type of transfers are required?
Please Select
Shuttle (multiple stops)
Private
Transfer duration preference
Please Select
0-30 minutes
30 minutes - 1 hour
1 hour - 1.5 hours
1.5 hours - 2 hours
Hotel and Resort Holiday
Only complete if relevant
Number of Nights
Hotel Preference
List any you like the look of
# of Rooms/Arrangement
Please note if you require connecting rooms
Bed Preferences
Twin, Double, King
Board Basis
*
Please Select
Room Only
B&B
Half Board
Full Board
All inclusive
Features
Standard Room
Garden View
Ocean View/Front
Adults Only
Family Friendly
Suite/Jr Suite
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Standard View
Ocean View
Splash Pad
Swimming Pool
Water Slides
Other
Cruise Holiday
Only complete if relevant
Cruise Preferences
Cruise Itinerary/Destination(s)
Cruise Length
Pre and Post Cruise Nights
Yes
No
Beverage Plan
Yes
No
Beverage Plan Type
Car Rental
Only complete if relevant
Car Preferences
Add-Ons
Car Category
Compact
Mid Size
Full Size
Luxury
Other
Car Insurance Preference
Please Select
Cheapest (includes excess)
Full insurance (no excess)
Package Tour
Only complete if relevant
Country or Countries of Interest
Country or Countries of Interest
Escorted
Independent
Other Information
What hotels have you stayed in and enjoyed?
How many days do you want to do activities if any?
What activities do you enjoy when travelling?
Sightseeing/History
Culture/Arts
Beach/Sun
Active/Sports
Wine/Culinary
Shopping
Spa
Other
What will be your method of payment? Important as not all partners take Amex.
Please Select
Bank transfer
Mastercard/Visa
American Express
Additional Notes - special occasion, Must sees, Essential hotel or flight requirements etc.
Submit
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