Travel with Misha K: Client Intake Form

Client Intake Form (NON CRUISE TRAVEL)

Please fill out the information below to help me design your ideal travel experience.I will follow up with any additional questions and provide a customized quote within 72 hours of receiving your form. For larger groups or more complex travel, I will notify you if additional time is needed to prepare your quote.I look forward to working with you and helping bring your travel dreams to life! Misha K. Sampson-Duncan Misha.K@fora.travel 314-978-5585
Point of Contact Name*

First NameLast Name
Point of Contact Email Address*
example@example.com
Point of Contact Phone Number*
Please enter a valid phone number.
Number of Travelers*
Urgency of Booking*
What is your total budget for this trip*

Under $1000Under $2500$2500-$5000$10,000Not sure yet

Traveler Names (MUST match Passport/Government ID)*

	Full Name (as shown on Passport/Government ID)	Date of Birth	Age	Dietary Restrictions?
Guest 1
Guest 2
Guest 3
Guest 4

Additional Guest Names, DOB, Ages & Dietary Restrictions (if applicable)
Are all travelers Passport Holders?*

YesNoThey will be obtained at least six (6) weeks before departure dateNot applicable to trip
Preferred Travel Date Range (You may list up to three (3) dates ranges)*
Are your dates flexible?*

YesNo
Where would you like to go? Do you have specific cities, countries, or regions in mind?*
Departure City and Return City (if different)*
Type of Trip (Check all that apply)*

Solo VacationFamily VacationHoneymoonAnniversary TripGroup TripBusiness TripDestination WeddingOther
What type of experience are you looking for? (Check all that apply)*

LuxuryBudget FriendlyAdventureRelaxationCultural ImmersionFamily-FriendlyRomanticOff the Beaten PathFood & WineWellness/SpaNature/WildlifeGuided TourIndependent Traveler
Must-have experiences or activities: (e.g. cooking class, hiking, wine tasting, beach, safari, etc.)*
Places or types of experiences you'd like to avoid:*
Hotel preference: (Luxury, Boutique, All-Inclusive, Villa, Airbnb, Budget, etc.)*
Room type: (Single, Double, Suite, Connecting rooms, etc.)*
Bedding preference: (King, Queen, Twin, etc.)*
Special requests: (Ocean view, quiet room, near elevator, etc.)*
What is most important to you? (Check all that apply)*

Best PriceTravel PerksUnique ExperiencesComfort/LuxuryConvenienceCustomization
Travel Services Needed(Select all that apply)*

Full Trip PlanningFlightsLodgingTransfers/TransportationTravel InsuranceExcursions/ToursGroup Travel CoordinationDining ReservationsWedding/Honeymoon/Special Occasion Planning24/7 Travel Support
Referred by (if applicable)
Please provide any additional information you would like to share.
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Client Intake Form (NON CRUISE TRAVEL)