CLIENT TRAVEL INQUIRY FORM

CLIENT TRAVEL INQUIRY FORM
Thank you for choosing Emerald Escapes Travel! Please complete this form so we can begin planning your perfect getaway.
CLIENT INFORMATION
TRAVEL COMPANION INFORMATION
Primary Traveler Full Name:
Number of Adults:
Number of Children:
Date of Birth:

MonthDayYear
Date
Children's Ages at Time of Travel:
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Names of Additional Travelers:
Preferred Method of Contact:
Street Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
TRIP DETAILS
VACATION PREFERENCES
Destination(s) of Interest:
Type of Vacation (Check all that apply):
Are your travel dates flexible?
Preferred Travel Start Date:

MonthDayYear
Date
Preferred Travel End Date:

MonthDayYear
Date
Departure Airport(s):
Length of Trip:
BUDGET
Total Vacation Budget (including airfare):
Budget Per Person (if known):
HOTEL / RESORT PREFERENCES
CRUISE INFORMATION (IF APPLICABLE)
Preferred Hotel Rating:
Cruise Destination:
Preferred Cruise Line:
Cruise Length:
Room Type Preference:
Bed Configuration:
Preferred Resort Features:
Preferred Cabin Type:
AIR TRAVEL PREFERENCES
Preferred Airline (if any):
Seat Preference:
Would you like airfare included?
SPECIAL CONSIDERATIONS
TRAVEL PROTECTION
Do any travelers have mobility or accessibility needs?
Would you like information about Travel Protection/Insurance?
If yes, please explain:
PASSPORT INFORMATION
Food Allergies or Dietary Restrictions:
Will all travelers have valid passports at least 6 months beyond travel dates?
Celebrating a Special Occasion? (Check all that apply)
ADDITIONAL NOTES
Special Occasion Details:
Please share anything else that would help us create the perfect vacation for you:
- FOR OFFICE USE ONLY -
Lead Source:
Referred By:
Agent Notes:
Should be Empty:

CLIENT TRAVEL INQUIRY FORM

CLIENT INFORMATION

TRAVEL COMPANION INFORMATION

TRIP DETAILS

VACATION PREFERENCES

BUDGET

HOTEL / RESORT PREFERENCES

CRUISE INFORMATION (IF APPLICABLE)

AIR TRAVEL PREFERENCES

SPECIAL CONSIDERATIONS

TRAVEL PROTECTION

PASSPORT INFORMATION

ADDITIONAL NOTES

- FOR OFFICE USE ONLY -