Personal Details
Name as it Appears on your Passport
*
Mr.
Mrs.
Prefix
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
/
Month
/
Day
Year
Enter Your Birthday
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
example@example.com
Enter Phone Number
*
Would you like to be included on our email list?
*
Yes
No
Preferred Contact Method**
*
Phone
Text
Email
Video Call
Other
**All correspondence will be recorded to ensure high quality customer service
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Travel Documents
Please provide copies of the following requested documents. These documents are required by our business insurance. At Weiss Luxury Travel, LLC your privacy is our top priority. Please read our privacy policy for details on how we use your information. https://weissluxurytravel.com/privacy-policy
Passport
*
Browse Files
Drag and drop files here
Choose a file
Please provide a copy of your passport.
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of
Drivers License
*
Browse Files
Drag and drop files here
Choose a file
Please provide a copy of the front and back of your Drivers License.
Cancel
of
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Travel Dates
Travel Dates available (Departure)
*
-
Month
-
Day
Year
Date Picker Icon
Return
*
-
Month
-
Day
Year
Date Picker Icon
Are your dates flexible?
Yes
No
Tell us more about your date flexibility...
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What kind of trip are you thinking of?
On land? Out at sea? R & R or constant nightlife? Tell me a little bit about where you'd like to go and what kind of experience you're interested in once you get there!
Choose one:
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Round-trip
One-way
Multiple Destinations
Other
If multiple destinations, Please enter the City, State, # of nights (aprox)/ destination, and any other relevant information below.
Departure Location
*
Destination
*
Where would you like to explore? I love a new adventure!
New Orleans, LA
Los Angeles, CA
San Francisco, CA
Las Vegas, NV
Orlando, FL
Aspen, CO
Colorado
Florida
Europe
Cruise
River Cruise
All Things Disney
Universal Studios
Other
What activities are you interested in?
Beach & Water Activities
Adventure Activities
Golf
Nightlife
Theater/Arts
Festivals
Sporting Events
City Tour
Private Luxury Experience
Dining Experiences
Other
What kind of vibe are you looking for?
Romantic
Rest and Relaxation
Party
Local Culture
Kid/Family Friendly
Food/Wine
Adventure/Active
LGBTQ+ Friendly
Adults Only 18+
Other
Traveling for a special occasion?
Birthday
Destination Wedding
Honeymoon
Anniversary
Destination Bachelor/Bachelorette Party
Family Reunion
Employee Reward/Incentive
Other
Please elaborate on where your imagination is taking you?
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Tell me about your spending limit.
What is your approximate spending limit?
*
Enter Amount Here
What would you like included in your booking?
*
Air and Hotel/Resort
Airport Transfers
Air, Hotel, Rental Car
Air, Hotel, and Cruise
Tours
Events
Festivals
Other
Is there anything special I can provide for you and your travel companions?
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Travel Party Details
Who are you going with?
Size of Travel Party
*
Our party includes:
*
Infant/Toddler
Children (< 13 years)
Teens (13-17 years)
Adults (18-20 years)
Adults (21-64 years)
Seniors (65+ years young)
People who require ADA accommodations
Veterans/Military
Fire/Police
How many children or and what ages (at time of travel)?
*
Ages 17 and younger
How many Seniors?
*
65+
Please enter military/veteran, or first responder number for discount as well as name.
Special Accommodations
Connecting Rooms, Crib, Rollaway, Sofa bed, Coffee maker, Minibar (All requests based on hotel availability and are not guaranteed until arrival. I will do my best to ensure that your requests are met)
Do you need any special accommodations during your trip?
*
Yes
No
Please elaborate on the kind of accommodation your traveler(s) require? (Visual? Auditory? Mobility issues/ wheelchair use?)
*
ADA accommodations (Hearing impairment, Vision impairment, Roll in Shower, Shower Stool, Bathtub with Grab Bars,
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Preffered Hotels and Loyalty Program Information
What are your preferred Airlines? If you’re a loyalty member please include loyalty number and name on the account.
What are your preferred hotel brands? If you’re a loyalty member please include loyalty number and name on the account.
What are your preferred rental car companies? If you’re a loyalty member please include loyalty number and name on the account.
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Travel Preferences
Flight, Hotel, Car
Flight Preferences
What is your preferred flight class?
Economy
Economy Plus
Business/First (Domestic)
Premium Plus (International)
Business (International)
United Polaris, American Flagship, Delta One, or Comparable (International)
Other
Preferred Seat
Aisle
Middle
Window
Exit Row
Bulkhead
Other
Hotel Preferences
What resort/hotel star rating do you prefer?
5 star
4 star
3 star
Room Preferences
1 Queen Bed
1 King Bed
2 Double/Queen Beds
Jr. Suite
1 Bedroom King Suite
2 Bedroom Suite 1 King per Room
Balcony
Garden/Courtyard View
City view
Oceanfront View
High Floor
Low Floor
Away From Elevator
Away from Ice Machine
Close to Elevator
Mini Bar
Restaurant and/or Bar On-site
Breakfast Included
Other
Rental Car Preferences
If applicable, what size car rental will you need?
Compact/Economy
Midsize
Standard
Full Size
Premium
Luxury Sedan
SUV/Van/Pickup
Luxury SUV
Other
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Final Thoughts?
What else would you like us to know?
What else would you like us to know about your party, spending limit and/or travel preferences? How can I make your trip as magical as possible?
Is it a holiday, special occasion, adults trip, family trip, friends trip... you name it we will plan it!
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After submitting this form, you'll be taken to my appointment scheduler to book your initial consultation.
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