Mommy Travelers Intake Form

Travel Information Form

Shanice Vacation Travel is the Platinum Passport for Vacations and Honeymoons. This form is to let us know what kind of Vacation/Honeymoon you have in mind. Assisting us in finding the best quote that will meet your travel needs. Please provide us with the necessary details below so that we can brainstorm and offer you some awesome options for your travel.
Contact Name*

First NameLast Name
Date of Birth*

MonthDayYear
E-mail*
example@example.com
Mobile Number*
Alternate Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Travel Details
Preferred Airport*
Only if applicable
Traveler #1*

First NameLast Name
Traveler #2

First NameLast Name
Additional Travelers
Departure Date: *

MonthDayYear
Return Date:*

MonthDayYear
Mobility/Accessible Accommodations Needed?*
Only if applicable
Trip type*

GETAWAYHONEYMOONBUSINESSFAMILY VACATIONCRUISEOther
Accomodations*

ALL-INCLUSIVE RESORTHOTEL ONLYHOTEL & FLIGHTFLIGHT ONLYENTERTAINMENTRENTAL CAROther
Accommodations Details: standard room, suite, ocean view, balcony...
Reason for Travel: Work, Wedding Celebration, Birthday, Girl’s/Guy's Trip, Bachelor/ Bachelorette Trip, Romantic Get-A-Way, Leisure, etc...(Please specify)
Are your dates flexible? If yes, please explain. *
Do you need transfers from the airport?*

YESNO
Desired budget $ USD
Are you interested in payment arrangements if available? *
Would you like to add travel insurance? *
Are you interested in learning about becoming a Travel Agent?

YESNO
Terms & Conditions:

Research Fee Agreement-In order to perform the professional services required to design and arrange your travels, a $15.00 research fee per adult and $5.00 per child is required. The fee is non-refundable. Vacation planning involves a great deal of time. Our work is based on years of personal experience and professional expertise. We research cruises, hotels, toursand activities to meet your specific needs. contact suppliers, coordinate transportation, draft itineraries and more. We provide ineneraries; vacation plans and tailored travel arrangements that give travelers peace of mind and save time. Please allow up to 5 business days for travel details to be sent.
Travel Disclosure Documents
Payment
Retainer Fee:

prevnext( X )
USDNon-refundable

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Travel Information Form

Travel Details

Payment