2019 Las Vegas Travel Logistics Form

Client Information and Itinerary Planning Form

This is a secure form but please don't send sensitive information in this form. Leave a note in the comments explaining what you need and I will follow-up with you.
Please fill out this form if you're traveling in the next 6-12 months. Travel arrangements will be made when each person completes this form and pays the required deposit.
Your Name (as shown on state issued ID)*

First NameMiddle NameLast Name
Birth Date *

MonthDayYear
Date
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState

Zip Code
Your Phone Number*

Area CodePhone Number
Your E-mail Address*
I will be sending important information. This should be an email you check regularly.
Do any of the following apply to you? Check all that apply.*

Current or former militaryCurrent or former teacherCurrent or former federal government employee (non-military)First responder (Firefighter, EMT, Police, Nurse, Doctor)Senior citizen (55 or older)None of the above apply
Preferred Departure Airport (if you're not flying, please type NA)*
ex. Newark, New York, Atlanta, etc...
Preferred time of day for departure flight*

MorningAfternoonEarly eveningDoesn't matterI'm not flying
Preferred time of day for return flight*

MorningAfternoonEarly eveningDoesn't matterI'm not flying
Do you have accessibility or mobility needs? Check all that apply*

I use a wheelchair and need room for it on the airplane.I use a walker or similar mobility device.I need wheelchair assistance at the airport.I need an accessible hotel room.I need an accessible vehicle for transportation and toursI am legally blind.I am legally deaf.Other
I agree to the travel dates that were selected and am able to travel on these dates. Please refer to your travel proposal/quote if you are unsure of the travel dates.*

YesNo
Please enter your preferred travel dates here. Be sure to enter your preferred arrival AND return date. *
I have a valid state-issued ID and/or certified copy or original birth certificate for travel.*

YesNo
Preferred room setup? (For villa guests, this is for informational purposes only. Villa guests can determine their own sleeping arrangements when they arrive)*

I want a room to myself (single supplement may apply)2 people per room3-4 people per room
Name of first person sharing the same room with you.

First NameLast Name
Name of second person sharing the same room with you.

First NameLast Name
Name of third person sharing the same room with you.

First NameLast Name
Preferred Room Type (Room choice subject to availability. Please note that most hotels and resorts only allow smoking in designated areas)*

Nonsmoking room - 2 bedsNonsmoking room - 1 bed
Select the ground transportation options you would like once you arrive at your destination. If your proposal/quote includes airport transportation, select the third option.*

I don't need ground transportation.I will arrange my own taxi or rideshare like Lyft, for ground transportation. (Rideshare services not available in all destinations)Please arrange a round trip ground transfer between the airport and my accommodations hotel.
Would you like a Travel Insurance Quote*
Travel insurance offers protection of your investment in your trip. Portions of your trip, like flights, are usually nonrefundable once they're booked. Additionally, you may unexpectedly not be able to travel for a variety of reasons, many of which do not qualify for a refund. We strongly recommend that you purchase travel insurance. No charges will be made until travel insurance quote has been sent and accepted.
I acknowledge that I have been advised to purchase travel insurance to protect my travel investment. I am declining travel insurance for this trip.*

Yes
Payment Method*

Cash App ($CaribWanderer)I will call you to pay via credit or debit card
Terms: I have reviewed my itinerary and I authorize Carib Compass Travel & Wellness to debit my bank account and/or charge my credit or debit card on behalf of the associated travel suppliers and services on my Confirmation Invoice/Itinerary/Quote. If payment is made to Carib Compass Travel & Wellness through other means, such as cash, I understand that the payment will be transferred to the travel services provider on my behalf. I understand that total billing may be split between the airline(s), accommodation providers, service providers, tour operators, transportation providers, and cruise lines based on my travel selections. I agree to make payment for the above charges when charged by my bank or billed by my credit card issuing company. I understand and agree that my payments are subject to the travel supplier's refund and cancellation terms. I further acknowledge that knowing the travel restrictions for the area I'm traveling to is ultimately my responsibility and that restrictions may change after I arrive at my destination. By submitting this form, I agree to these terms.
I have read and accept these terms.*

Yes
I have read, understand, and agree to the terms and the trip plan shown in my quote/proposal.*

Yes
I confirm that the information entered in this form is accurate*

Yes
Comments or Notes
Please enter questions or any special requests here.
Tracey McGoughy

ASTA Verified Travel Advisor, Caribbean and Cruise Specialist

Carib Compass Travel & Wellness

Phone: 678-658-0809

Email: tracey@caribcompasstw.com

Website: http://www.caribcompasstw.com

If you're mailing this form, please print it and send it to 25 Knights Dr. Covington, GA 30016.
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Client Information and Itinerary Planning Form