Client Contact Information

Client Contact Information

This form for is for any potential Wander Qurated clients regardless of intention to hire. Help me, help you! Please fill out this form to the best of your abilities; the more information, the less I will contact you! All answers are not shared with anyone else.
Full Name*
as shown on legal identification documents
Preferred Title*
Preferred Title
if other
Pronoun(s)
Gender*
Gender
if other
Email(s)*
how you prefer to receive travel information and documents
How much travel marketing emails would you like to receive?*

All of itSomeA fewNone
Phone number*
include area code
Phone Number Type*

MobileHomeWork
Optional Additional Contact Number(s)
please specify type (i.e. mobile, business, home)
Address*
Birthdate*

MonthDayYear
Current Country of Origin*
Travel Related Information

Optional but helpful if you want to hire me.
Passport Number
Passport Issue Date

MonthDayYear
Passport Expiration Date

MonthDayYear
Known Traveler Number [TSA Precheck/Global Entry]
Preferred Airport(s) to fly out of
the more you list, the better the options
Preferred Airline(s) to fly with
Preferred seat type on planes
Preferred Hotel Chain(s)
Preferred Car Rental Company(ies)
Preferred Car Type(s)
Loyalty Program Numbers(s) [air/accommodation/car]
Dietary Restrictions
Getting to Know Your Travel Preferences

Optional but helpful
Destination(s) you'd like to travel to one day
Typical Travel Budget Per Person (realistically how much you actually spend on travel, not how much you want to)

Budget (Less than $/£/€700 or approximate)Moderate (Up to $/£/€1500)Premium (Up to $/£/€3000)Deluxe (Up to $/£/€5000)Luxury (More than $/£/€5000)
Lifestyle

SingleCoupleFamilyMarriedWidowedRetired
Social Scene Preferences

Quiet atmospheresLively and socialOther families aroundAdults Only
Food/Dining Preferences

BuffetsCasual/Food trucksCultural street foodFast foodFood HallFull service dining in hotelGhost kitchensGourmet/fine diningMichelin Star restaurantsRestaurants nearby to hotel
Travel Interests

Adult-OnlyAdventureAll-InclusiveAlternative LifestylesAntiquingArchaeologyArtAuto RacingBallooningBeach / SunBed & BreakfastsBicyclingBicycling ToursBird WatchingBoating / Yachts / SailingClimbingCondominium StaysCountry DancingCouples Only ResortsCruisesCultural TravelDancingDisneyDiving/WatersportsEco-TourismEscorted Tours/Coach/BusEscorted Tours/MotorFamilyFamily travel/DisneyFishingFitnessFly/Drive TripsFood & WineGamblingGardens/GardeningGeologyGolfHiking/WalkingHistoryHoneymoon/RomanceHorseback RidingIndependent ToursIslands resorts/SunJazzLGBTQLuxury Resorts/HotelMusicOperaPhotographyReligious VacationsRiver Cruises/BargesRVSafarisScuba / SnorkelingShoppingSightseeing/MuseumsSingles TripsSkiing / SnowboardingSocial ImpactSpaSports EnthusiastStandard HotelsSuitesSurfingTheaterVillas / Private HomesWatersportsWildlife
Your Travel Advisor
Would you like to be contacted about planning any upcoming travel?*

Absolutely!Not right nowMaybe
Desired Destination(s)
Duration of Dates
Are you flexible with travel dates?
Contact Preferences*

EmailPhone CallText MessagesSnail Mail
What day(s) is/are the best day(s) to reach out?
When is a good time frame to contact you?
Do you have any additional information I should know?
Thank you for taking your time to fill this out!
Should be Empty:

Client Contact Information

Travel Related Information

Getting to Know Your Travel Preferences

Your Travel Advisor