Client Information Form
Let's book your trip
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
DOB
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
(Optional)
Holiday Budget
*
Number of Adults
Number of Children
Holiday Start Date
Holiday End Date
Destination of Interest
Travel Insurance
If no insurance bought a signed waiver is required
Air Travel
Preferred departure City / Cities
Airline preference (Frequent Flyer Programs)
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
Aisle
Middle
Window
Bulkhead
Forward
Wing
Will arrange own Air
Cruise Vacation
(Leave blank if not required)
Cruise preference (Frequent Cruiser Programs)
Cruise Itinerary
Pre and Post Cruise Nights
Yes
No
Cabin Class
Beverage Plan
Yes
No
Beverage Plan Type
Hotel and Resort Holiday
(Also for pre and/or post Cruise)
Number of Nights
Hotel Preferences
# of Rooms/Arrangements
(Please note if you require connecting rooms)
Bed Preferences
Twin, Double, King
Features
Standard Room
Garden View
Ocean View/Front
All Inclusive
Adults Only
Family Friendly
Suite/Jr Suite
On The Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Standard View
Ocean View
Other
Villa / Apartment Stay
(Also for pre and/or post Cruise)
Number of Nights
Villa or Apartment
# of Rooms / Arrangement
Bed Preferences
Twin, Double, King
Features
Garden View
Ocean View/Front
Adults Only
Family Friendly
On the Beach
Near City Centre
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Swimming Pool
Self Catering with Kitchen
Access to resort restaurants
Chef to cater
Other
Car Rental
Car Preferences
Add-Ons
(For example; Child Safety Seat, Pre-filled Car Fuel, GPS/WIFI etc...)
Car Category
Compact
Mid Size
Full Size
Luxury
Not Required
Other
Package Tour
(Also for pre and/or post Cruise)
Country or Countries of Interest
Country or Countries of Interest
Escorted
Independent
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
Other
What activities do you enjoy when travelling?
Wine/Culinary
Shopping
Spa
Other
Additional Notes - Special Occasions etc
Signature
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