PROSPECTIVE CLIENT VACATION

YOU DESERVE A VACATION

Miller Travel Concierge
There is no request too small or too large. We are here to satisfy you and make sure your travel experience is as delightfully memorable as possible. In order for us to give you exactly what you require we need a little information to complete your quote. A vacation specialist will contact you within 72 hours. Are you prepared to make a deposit IF the quote is acceptable?
How did you hear about us?
Email*
example@example.com
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
WHAT TYPE OF VACATION TRIP ARE YOU THINKING OF? You can add on air and rental car with your choice if needed.

CRUISEALL-INCLUSIVE RESORTHOTELAIRFARE NEEDEDRENTAL CAR NEEDEDINTERNATIONAL TRAVELJUST FLIGHTACTIVITIESOther
How many travelers:
Number of rooms
Type of accommodations: standard room, suite, ocean view, balcony, ............
How many Adults?
How many children? If children please add ages. (Example 3 children, 4,7,10)
Reason for travel: WORK, CELEBRATING WEDDING, BIRTHDAY..., GIRL’S TRIP, BACHELOR/ BACHELORETTE TRIP, ROMANTIC GET-A-WAY, LEISURE, please be specific
Destination Choice: *
Where are you departing from? *
Departure Date: *

MonthDayYear
Date
Return Date:*

MonthDayYear
Date
Are your dates flexible? If yes, please explain.
Would you like a rental car?

YESNO
Do you have a preference for a car rental company if you are asking for a car rental?
If yes, on rental company preference... What company do you prefer?
Do you need transfers from the airport?

YESNO
Desired per person budget is USD $
Desired total trip budget USD $?
Would you like to add travel insurance?
Please include anything special or extra that I need to know including any type of restrictions or desired resort choices or cruise preferences or activities. The more you tell me, the more likely I’ll be able to meet your every need. (Example: FOOD ALLERGIES, restrictions, I want four 2-day hopper passes for Disney world or we would like excursions for our cruise or please only give us first class pricing for airfare)
Are you interested in learning about becoming a Travel Agent?

YESNO
Thank you again for choosing our services. We value you and we understand that every vacation is an opportunity to make lasting life long memories.
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YOU DESERVE A VACATION