Haneefa's Travel Treasures Request Form

Thank you for your interest in our travel planning services. To provide you with the most accurate and personalised travel recommendations, we kindly ask that you complete this travel request form in as much detail as possible. The more information you share, the better we can tailor your travel experience to your needs.

Please note: To ensure each client receives dedicated personalized planning, a one-time planning retainer of only $25 USD is requested only if we move forward after the initial consultation. This retainer supports the time and care involved in researching, coordinating and tailoring travel options.

Once your form is submitted, we will review your information and reach out within 24-48 hours to schedule a consultation call. During this call, we will review your travel plans, confirm next steps and ensure we are the right fit for your travel needs.

Full Legal Name (as shown on Passport or Government ID)

First NameLast Name

Date of Birth

Date

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How did you hear about us?

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

How many travelers:

Number of rooms

Type of accommodation: (e.g. standard room, suite, ocean view, balcony, accessible room, roll-in-shower, connecting rooms)

How many Adults?

How many children? If applicable, please include their ages. (Example: 3 children - ages 4,7,10)

Reason for travel: WORK, CELEBRATING WEDDING, BIRTHDAY..., GIRL’S TRIP, BACHELOR/ BACHELORETTE TRIP, ROMANTIC GET-A-WAY, LEISURE (please be specific) FAMILY TRIP/SPECIAL NEEDS TRAVEL

Destination Choice:

Where are you departing from?

Departure Date:

Date

Return Date:

Date

Do you or anyone in your group have any disabilities, special needs, medical conditions, sensory sensitivities, or accessibility requirements, we should know about?

Wheelchair, autism, mobility issues, hearing/visual needs, dietary needs, anxiety, etc

Will anyone require mobility assistance or special support during travel?

Walker, wheelchair, oxygen, service animal, airport assistance, etc)

Are there any sensory or comfort considerations we should plan for?

Quiet spaces, crowds, routines, food textures, stimulation, etc)

Is there anything else about your family, group, or situation that you would like me to know so I can plan the best experience for you?

No detail is too small - routines, fears, medical needs, preferences, etc.)

Are your dates flexible? If yes, please explain.

Would you like a rental car?

Do you need transfers from the airport?

Desired per person budget is USD $

Are you ready to secure your trip with a deposit once we find the perfect fit. (Please note: Prices may fluctuate until the deposit or payment is made)

Are you interested in payment arrangements, if available?

Would you like to add Travel Insurance to your booking (declining insurance may result in higher costs for changes or cancellations and some rates could become non-refundable)

How did you hear about us? Please select

Please share anything special or important I should know about your group - including restrictions, accessibility needs, preferred resorts/cruise lines, or activities you're excited about. The more you tell me, the better I can design a trip that truly fits your family.

Are you interested in learning about becoming a Travel Agent?

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.

HANEEFA'S TRAVEL TREASURES