Customer Information Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Vacation Budget:
Is the above budget per person
Please Select
Yes
No
Insurance
Please Select
Yes
No - will need to obtain signed waiver
Number of Adults:
Number of children
Ages of children
Dates of Travel:
Are these dates flexible
Please Select
Yes
No
Destination of Interest
Air Travel (if needed)
Departure City
Airline Preference (Frequent Flyer Programs):
Seat Choice
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Window
Middle
Bulkhead
Forward
Wing
Cruise Vacation (if desired)
Cruise Preference (Frequent Cruiser Programs):
Cruise Itinerary:
Cruise Length
Pre and Post Cruise Nights:
Please Select
Yes
No
Cabin Class
Beverage Plan
Please Select
Yes
No
Beverage Plan Type
Hotel and Resort Vacation
# of nights
Hotel Preferences (Frequent Guest Programs):
# of Rooms/Arrangement
Room Type
Standard
Garden View
Ocedean View/Front
Accesssible
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
Will this trip be
Please Select
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
Culture/Arts
Beach/Sun
Active/Sports
Wine/Culinary
Shopping
Spa
Any extra notes you would like me to know?
Should be Empty: