Customer Information Form
Client Name
First Name
Last Name
Today's Date
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Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about Travel with Busy B?
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Instagram
Facebook
TikTok
Friend or Family Referral
Google Search
Event or Expo
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vacation Budget
Insurance
Yes
No
Number of Adults
Number of Children and Ages
Dates of Travel
Flexible on Dates
Yes
No
Destinations of Interest
Air Travel
Departure City
Airline Preference (Frequent Flyer Programs)
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Bulkhead
Forward
Wing
Cruise Vacation
Cruise Preferences (Frequent Cruiser Programs)
Cruise Itinerary
Cruise Length
Pre and Post Cruise Nights
Yes
No
Cabin Class
Beverage Plan:
Yes
No
Beverage Plan Type:
Hotel and Resort Vacation
# of Nights
Hotel Preferences (Frequent Guest Programs)
# of Rooms/Arrangement
Room
Standard Room
Garden View
Ocean View/Front
Other
Features:
All Inclusive
Adults Only
Family Friendly
Concierge Level:
Suite/Jr Suite
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Standard View
Ocean View
Car Rental
Car Preferences (Frequent Renter Programs)
Add-Ons
Car Category
Compact
Mid Size
Full Size
Luxury
Other
Package Tour
Country or Countries of Interest
Escorted
Independent
Activity Level
Other Information
What hotels have you stayed in and enjoyed?
What cruiselines and resorts have you enjoyed before, if any?
What activities do you enjoy when travelling?
Sightseeing/History
Wine/Culinary
Culture/Arts
Shopping
Beach/Sun
Spa
Active/Sports
Travel Notes for Consideration
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