Vivid Dreams Client Profile

Travel Information Form

Vivid Dreams is the Platinum Passport for all of your Dream Vacations. This form lets me, Von-Neisha Miles, know what kind of Vacation you have in mind. Additionally, assisting me to find the best quote that will meet your travel needs. Please provide the necessary details below so that I can brainstorm and offer you some awesome options for your travel.
- Traveler #1*
  
  First NameLast Name
- Date of Birth*
  
  MonthDayYear
  Date
- E-mail*
  example@example.com
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Traveler #2
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- E-mail
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Additional Travelers (Name and Date of Birth)
- Travel Date*
  
  MonthDayYear
  To
- Travel Date*
  
  MonthDayYear
  From
- Destination*
- Do you need Transportation to and from the Airport?*
- Would you like to add Travel Insurance?*
- Realistic Budget $
  Total NOT per person
- Mobility/Accessible Accommodations Needed?*
- HoneymoonSolo GetawayBusinessFamily VacationCruiseGirls TripGuys TripBaecationBachelor/Bachelorette PartyBirthday TripOther
- All Inclusive ResortFlight OnlyStay, Flight, & RentalRental CarHotel/Resorts/Villa OnlyEntertainment/ActivitesStay and FlightOther
- Preferences (Airline, Flight Times, 5 Star Hotel, Ocean view Cruise, Villa, etc)
- Are you interested in payment arrangements if available?*
- In order to perform the professional services required to design and arrange your travels, a minimum research fee of $20 is required ($20 for up to 4 people, $40 for 5-10 people, and $60 for groups of 10 or more). The fee is non-refundable. Vacation planning involves a great deal of time. The work put in is based on years of personal experience and professional expertise. Vivid Dreams research cruises, hotels, tours and activities to meet your specific needs, contact suppliers, coordinate transportation, draft itineraries and more. Vivid Dreams provides itineraries, vacation plans, and tailored travel arrangements that give travelers a peace of mind and allows them to save time. Please allow up to 5 business days for travel details to be sent.
  
  By signing this form, you have agreed to the terms of Vivid Dreams Travel to charge your credit card for non-refundable agent research fee.
- Your Name*
  
  First NameLast Name
- Date*
  
  MonthDayYear
  Date
- Signature*
- Research Fee*
  prevnext( X )
  
  Research Fee #1
  1-4 Travelers
  
  $20.00
  
  
  
  Research Fee #2
  5-10 Travelers
  
  $40.00
  
  
  
  Research Fee #3
  10+ Travelers
  
  $60.00
  
  
  
  Total
  
  $0.00
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Travel Information Form