EmailMe Form - Travel Planning Request Form

Name of Lead Guest *

First Last

Email *

This will be used for mailing any electronic documents/itineraries.

Confirm

Phone *

### - ### - ####

Approximate Travel Dates *

Potential Destination(s) *

Approximate Budget *

Please note if budget needs to include air

Number of Adults and Children Traveling and Ages of Children (if applicable).

If more than one room is needed, please group list of travelers by room and note if connecting rooms required. *

What caliber and vibe of hotel/cruise and room category(s) do you prefer for this trip? 4 star, 5 star, boutique or a certain vibe, standard room, suite, certain view? *

Please note if there is a specific hotel, cruise ship, tour company or river cruise ship you are requesting *

Do you need assistance with booking Air?

Yes

No

Maybe, not sure

Potential Activities
(If Applicable)

How did you hear about us?

Is there a specific person we should thank for your referral?

What is most important to you in working with a Travel Consultant?

Is there anything else we should know about your trip?