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.Format: (000) 000-0000.
Number of Travelers
Urgency of Booking
What is your total budget for this trip

Traveler Names (MUST match Passport/Government ID)

Rows	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?
Preferred Travel Date Range (You may list up to three (3) dates ranges)
Are your dates flexible?
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)
What type of experience are you looking for? (Check all that apply)
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)
Travel Services Needed(Select all that apply)
Referred by (if applicable)
Please provide any additional information you would like to share.
Should be Empty:

Client Intake Form (NON CRUISE TRAVEL)