Desiree's Client Profile

Intoxicating Travel Group Client Profile
What we do: To customize tours and events that leaves you feeling intoxified with an unforgettable experience of a lifetime.

Please fill out the following questionnaire so that one of our Intoxicating Agents can design and tailor your memorable experience of a lifetime
Full Name *AS SHOWN ON PASSPORT**

First Name Middle Name Last Name
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Date of Birth*
Preferred method of contact
E-mail*
Phone Number

Area Code Phone Number
Referred by:*
IMPORTANT NOTE: PASSPORTS MUST NOT EXPIRE 6 MONTHS PRIOR TO THE DATE OF RETURN TRAVEL FOR MOST INTERNATIONAL DESTINATIONS. YOU COULD RISK BEING DENIED ENTRY IN YOUR SELECTED INTERNATIONAL DESTINATION IF NOT VALID FOR MORE THAN 6 MONTHS.
Do you have a passport?*
Have you received the Covid 19 Vaccine?*

YesNoDecline to answer
Additional Traveler Information
Additional traveler information is required if traveling with other to provide you with an accurate quote. If not traveling with an additional travelers please put none.
Name *AS SHOWN ON PASSPORT**

First Name Middle Name Last Name
Date of birth*
Gender*

MaleFemale
E-mail
example@example.com
Name *AS SHOWN ON PASSPORT*

First Name Middle Name Last Name
Date of birth
Gender

MaleFemale
Name *AS SHOWN ON PASSPORT*

First Name Middle Name Last Name
Date of birth
Gender

MaleFemale
Name *AS SHOWN ON PASSPORT*

First Name Middle Name Last Name
Date of birth
Gender

MaleFemale
Destination Information
What destination are you interested in traveling to?*
Bucket List Destinations
Travel Dates
Departing*

MonthDay Year
Returning*

MonthDay Year
Estimated TOTAL Budget*
Specific
Airline Information
Airline preference
Would you like your quote to include airfare?*

YesNo
Departure Airport*
Preferred Departure time

:Hour Minutes AM/PM Option
Preferred Return time

:Hour Minutes AM/PM Option
Seat Location
Seat Class
Airline Mileage Number
Hotel/Resort Information
Bed Type*
Room View*
Are you celebrating a special occasion?*

HoneymoonBirthdayAnniversaryBabymoonN/A
Anniversary date (If Applicable)
Do you want Travel Insurance?*
Do you have allergies? If YES please list allergies here.*
Special Requests or Accommodation Needs. (I.e. Wheel Chair, Non Smoking, Food Allergies, Language Interpreter …etc.):
Excursions/Activities:
Check all that apply

Historical/Cultural ToursBike in TownWalking ToursTheatreAdventureSafariConcerts/FestivalsBest RestaurantsSnowshoeingAmusement ParksShoppingKayakingCruise/River CruiseMuseums/CastlesSkiing (X-Country or Downhill)Home ToursWine/Beer TastingCannabis ToursDiving/SnorkelTrain ExcursionSporting eventsScenic ToursLake VacationRomanticRelaxing on the BeachFood tastingSpa/WellnessSailing/windsurfingFishing/HuntingCycling/MotorbikeGolf/tennis OutingExtreme SportsZip liningCatamaran cruiseSwimming with the dolphins
Any additional information or Comments
Please let us know of any additional information needed to plan your trip
** DISCLAIMER - Please be advised that pricing and availability change day to day, and sometimes faster. Intoxicating Travel Group LLC is not liable if a consumer does not put a deposit down on a quote in a timely manner, and that room/flight/pricing is no longer available. Rooms etc. ARE NOT ON HOLD unless a deposit is made. **

Submitting an e-mail address is also a request to receive our Intoxicating Travel marketing e-mails. You may unsubscribe at any time.
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Intoxicating Travel Group Client Profile

Additional Traveler Information

Destination Information

Travel Dates

Airline Information

Hotel/Resort Information

Excursions/Activities:

Any additional information or Comments