Haitian Nomad Private Trip Planning Form

Haitian Nomad Private Trip Planning Form
How Our Private Trip Planning Service Works

1.Fill Out the Trip Intake Form

Provide all the details about your dream trip, including your preferences, ideal destinations, travel dates, number of travelers, and any other helpful information.

2.Pay the Trip Planning Fee

A non-refundable $350 fee is required to initiate the trip planning process.

3.Destination Recommendation & Timing

Once we receive your form and payment, we will carefully review the details you’ve shared and within 7-10 days (or less), a member of our team will contact you via email or Whatsapp Messenger to help find a destination that aligns with your preferences and vision for the trip.

By completing these steps, you’ll give us the information we need to craft the perfect travel experience tailored just for you.
Details About You
Name (As it appears on your passport)*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail Address*
example@example.com
Confirm Email Address:*
example@example.com
Preferred contact method*

EmailText messagingWhatsapp MessengerPhone CallOther
Trip Details
Destination Type*
Do you have a destination in mind?*
List any destinations you'd love to explore.
Any destinations you do NOT want to visit?*
Let us know if there are any destinations you would not want to visit
Preferred Departure Airport *
What are your preferred Travel Dates? (Start Date)*

MonthDayYear
Date of Arrival at your destination
What are your preferred Travel Dates? (End Date)*

MonthDayYear
Date of Departure from your Destination
What is the group Size for this trip?*
Please be realistic in the number of guests as this help with pricing. Having less guests book the trip may affect each person's total cost
Please Specify the number of Adults and Number of Children if any*
If there are children, please include age
What's the occasion for this trip?*
Birthday ? Need a Vacation? Just want to Pamper Yourself? Good time with Family & Friends? Celebrating something special ? Please give as much detail as possible.
What is your budget for this trip per person? (NOT INCLUDING AIRFARE)*
Note: This includes Transportation, lodging, Daily Breakfast + Select Lunches & Dinners and excursions.
Type of Trip You're looking for (select all that apply)*
Note: This includes Transportation, Hotel/Accommodation, Daily Breakfast + Select Lunches & Dinners and excursions.
Preferred Travel Pace*
Any Specific Activities or Experiences You’d Like to Include?
(e.g., spa, private tours, snorkeling, hiking, hot air balloon, ATV, historical tour, )
Accommodation Details
Accommodation Preference*

Chain HotelVillas/Airbnb ApartmentBoutique HotelAll-inclusive ResortsOther
Secondary Accommodation Preference*

Chain HotelVillas/Airbnb ApartmentBoutique HotelAll-inclusive ResortsOther
Preferred Rating of Lodging*
We only work with 4-5 star accommodations to maintain the level of quality & service our brand is known for.
Preferred Room Type*
Additional Information/Comments (anything that we need to know that would help us curate this trip for you? Dietary restrictions/preferences?)
Consultation Fee*
prevnext( X )
Consultation Fee$350.00

Total $0.00
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Haitian Nomad Private Trip Planning Form

Details About You

Trip Details

Accommodation Details