Client Profile

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Client Travel Inquiry
Primary Traveler's Information:

Smith Luxury Escapes takes pride in creating memorable Getaways for each of our clients. Completing this form will enable us to better understand your unique preferences and begin building an itinerary that will meet and/or exceed your expectations. Please note, we DO NOT book airfare only itineraries. For the latest travel and destination information, visit us on the web: www.smithluxuryescapes.com or www.facebook.com/smithluxuryescapes.
First Name*
Last Name*
Preferred name
Birth Date*

MonthDayYear
Best Contact Number*

Area CodePhone Number
Sex*

MaleFemale
Email Address*
How did you hear about us?
If you chose "Other" Please let us know where
Trip Details:
Where would you like to go?*
When would you like to depart?

MonthDayYear
Date
When would you like to return?

MonthDayYear
Date
Are your dates flexible?

YesNo
What is your departure city?
How many travelers?*
Additional Travelers' Names and Date of Birth:
What is your target budget per person?*
How soon will you be ready to make your deposit?*

TodayWithin the next 2 WeeksWithin the next MonthI'm just shopping aroundOther
Would you like to add Travel Insurance?*

YesNo
Do you have your passport?*

Yes, I currently have a valid passportNo, I do not have a valid passportNo, I do not have a passport yet, but I will apply for it before my tripNo, my itinerary is domestic and does not require a passport
Travel Preferences
What best describes your hotel preference?

EconomyModerateLuxuryBoutiqueBed & BreakfastOther
What kind of vibe are you looking for?

RomaticRest & RelaxationOff the beaten pathPartyLocal CultureFamily FriendlyFood and WineOther
What activities are you interested in?

Beach and waterGamblingScubaAdventure activitiesGolfNightlifeArts and TheaterLocal HistoryOther
Anything you ABSOLUTELY must do or see?
What else would you like me to know?
Should be Empty:

Primary Traveler's Information:

Trip Details:

Travel Preferences