Travel Planning Form

TRAVEL PLANNING FORM

Your Journey Starts Here!

By completing the information below, we will be able to start planning your memorable vacation, based on your preferences. All information is kept confidential and will not be shared with anyone but ReLuxe Vacations, LLC, and Cruise Planners for the purposes of planning your vacation.

For more informaton about our agency, please visit ReLuxeVacations.com.
Primary Contact Name*

First NameLast Name
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number*
How did you hear about us?*
Did someone refer you to our agency? If so, who, so we may thank them for referring you?*
Passenger Details

Passenger names should be provided as they appear on your government issued ID for domestic travel or passport for international travel. Incorrect spelling of names and dates of birth could result in denied boarding or check in.
Total Number of Adults*
Total Number of Children (Under 18)*
Passenger 1*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Passenger 2*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Passenger 3

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Passenger 4

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Passenger 5

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Passenger 6

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
When do you want to travel?

Select the time period you would like to travel. Select the earliest date you can travel and the latest date you must return home.
Earliest Departure Date*

MonthDayYear
Date
Latest Return Date*

MonthDayYear
Date
Number of Nights*
What destinations are on your bucket list?

If you are planning a multi-city trip, please indicate each city in the spaces below.
Destination 1*
Destination 2
Destination 3
Destination 4
What's your vacation style? (select all that apply)*

BeachCultureCulinaryAdventureReligiousCruise - OceanCruise - RiverOther
Land Vacation Type

Fully Escorted TourIndependent TravelIndependent with excursion optionsNot ApplicableOther
Please check the services that you need (select all that apply)*

Airline TicketsRental CarHotel AccommodationsRail TicketsCruiseTransfersOther
Preferred Airline(s)
Preferred Departure Airport Choice(s)
Preferred Air Connections

0 - Non Stop Only1 -Connection OnlyOpen to 1 more connections if pricing is significant
Preferred Hotel and/or Brand
Number of Hotel Rooms Needed

How many guests will occupy each room

	Number of Guests	Bedding Type
Room 1
Room 2
Room 3
Room 4

Preferred Cruise Line(s)
Preferred Cruise Cabin Type

SuiteBalconyOcean View (window only)Inside Cabin

How many guests will occupy each cabin

	Number of Guests	Bedding Type
Cabin 1
Cabin 2
Cabin 3
Cabin 4

When do you plan on making a decision about your vacation

MonthDayYear
Date
Is there any additional information you think we should know?
Budget

By providing us with a budget, we will be able to research the best possible vacation for you and your fellow travelers.
Budget Amount*
Total for all passengers combined. Include all pre-paid components requested above
Thank you for taking the time to complete this information request. We realize it took some time, but it will help us best plan your vacation and assure that we provide you with the best possible vacation options based on your preferences.

In the meantime, should you have any additional information that you would like us to know, please contact us at info@reluxevacations.com or at (508) 403-8044.
Should be Empty:

Passenger Details

When do you want to travel?

What destinations are on your bucket list?

Budget