Travel Inquiry Form

Black Ice Travel Company

Travel Inquiry Form
*Primary Traveler Must Be 21 or Older to Book.

Thank you for choosing Black Ice Travel Company to plan your next vacation. It is our pleasure to ensure that accommodations are blended to embrace your travel desires.

Our first priority is a pleasurable experience & the safety of our clients; thus, we charge a non-refundable reseach fee to provide wonderful service. Black Ice Travel Company is committed to providing offerings that meet high standards, great reviews, and 4 star & above ratings.

Please allow 2-3 business days (Monday-Thursday) for quotes to be completed. Quotes are sent to the email address that you provide below.
Reference Code:
Only if you are inquiring about a social media deal.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Where would you like to travel?

Other
If Other, Please Enter Destination
Type of Travel
Sleeping Preference

Other
Will You Need Air Travel?
Do all travelers have a Passport? (All passports must be valid 6 months after the departure date of your trip)Type a question
Vacation Budget
One Budget Family Vacation or Per Person Group Trips
Number of Travelers
Please Indicate the Number of Children and Adults
Ages of Children
Departure City
Date of Travel

MonthDayYear
Date
Travel End Date

MonthDayYear
Date
Are You Deposit Ready?
Additional Information:

Research Fee - I Authorize the Non-Refundable Amount Below to Black Ice Travel Company.

Individual Research Fee

9 travelers or less

$30.00 Quantity

Group Research Fee

Small groups 10-16 travelers

$50.00 Quantity

Large Group Research Fee

Group size of 17+ travelers

$75.00 Quantity

Social Media Deal

Use only if you have a Reference Code

$10.00 Quantity

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Signature
Should be Empty:

Black Ice Travel Company

Research Fee - I Authorize the Non-Refundable Amount Below to Black Ice Travel Company.*

Research Fee - I Authorize the Non-Refundable Amount Below to Black Ice Travel Company.