EmailMeForm
CHATMAN DESTINATIONS CLIENT TRAVEL FORM
Help us meet your needs by responding to a few brief inquiries. Complete the form to the best of your ability and we will get to work customizing the perfect trip for you.
Primary Traveler Name:
*
Prefix
First
Last
Suffix
Primary Traveler Address:
*
City & State (i.e. Houston, Texas):
*
Zip Code:
*
Date of Birth
*
MM
/
DD
/
YYYY
Phone:
*
###
-
###
-
####
Email:
*
Emergency Contact: (Must include First/Last Name, Phone Number, and Email Address)
*
Secondary Traveler Name:
Prefix
First
Last
Suffix
Secondary Traveler Address: (If different from Primary):
City & State (i.e. Houston, Texas):
Zip Code:
Date of Birth
MM
/
DD
/
YYYY
Phone:
###
-
###
-
####
Email:
Emergency Contact: (Must include First/Last Name, Phone Number, and Email Address)
How did you hear about us?
*
Family Member
Friend
Co-Worker
Promotion/Advertisement
Social Media
Google or Yelp
Travel Leaders Network
Select the purpose of your trip
Please Select
Wedding
Vow Renewal/Anniversary
Couple's Getaway
Vacation
School Reunion
Family Reunion
Birthday Trip
Sorority/Fraternity Trip
Business Travel
Spring Break
Cruise
Other
Dates of Travel
*
How many Adults
*
Please select
1
2
3
4
5
6
How many Children?
Please select
Infant (0-12 mths)
1
2
3
4
5
PASSPORT INFORMATION BOX
YOU MUST PROVIDE A COPY OF YOUR PASSPORT upon completion of International Bookings. Please provide name (as it appears on passport) and date of birth of ALL travelers. Please include this information in this information box:
*
Destination:
*
Please select
Europe
Carribean
Alaska
Mediterranean
Middle East
Other
If "other" destination (Please specify here):
Budget Per Person:
*
Please Select
$1800 - $2500
$2500 - $3000
$3000 - $3500
$3500 - $4000
$4000 - $4500
$4500 - $5000
Will you need AirFare
Please select
Yes
No
Will you need Transportation?
Please select
Yes
No
Home Airport:
*
Do you have bedding preference?
Please select
King
Queen
Double
Would you like Travelers Insurance?
(Highly Recommended)
*
Please select
Yes
No
Would you like to participate on any Excursions/Activities? (If yes, please specify)
NOTES BOX
IMPORTANT:
Please be aware that once you have made the decision to hire our agency as your personal travel agent; there will be a one-time planning fee of $150.00 for individual bookings that will be assessed. This payment is due before we start the booking process. Instructions will be given on how to make that payment.
We appreciate your business and we look forward to helping you create the perfect vacation. Please initial below if you agree.
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