EmailMe Form - Pre-Qualifier: Your Ticket to an Amazing Vacation

EmailMeForm

Today's Date: *
MM / DD / YYYY
All with red asterisks " * " must be completed.
Name as it appears on your Government ID: *
First Last
Date of Birth: *
MM / DD / YYYY
All with red asterisks " * " must be completed.
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Your Email: *
Phone *
### - ### - ####
Do you have a passport? *
YES, I'm so ready to go!
Not yet, I'm working on it
Need help getting it
Nope
List all hobbies, leisure activities, and professional and social affiliations: *
(I am a member of the local art guild” or “I love wine to go to wineries”)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TRAVEL PARTNER INFO:
TRAVEL PARTNER:
Name as on Government ID:
First Last
TRAVEL PARTNER:
Date of Birth:
MM / DD / YYYY
All with red asterisks " * " must be completed.
TRAVEL PARTNER:
Email:
TRAVEL PARTNER:
Phone
### - ### - ####
TRAVEL PARTNER: Do you have a passport?
YES, I'm so ready to go!
Not yet, I'm working on it
Need help getting it
Nope
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
VACATION/CRUISE PACKAGE TYPE:
Select your preferred vacation package: *
Do you need a pre/post-cruise hotel stay? *
Please provide your pre/post-cruise hotel stay details. *
(add dates for pre/post-cruise hotel stay)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TRAVEL INFORMATION:
Travel START: *
MM / DD / YYYY
Travel END: *
MM / DD / YYYY
What airport are you departing from? *

Tell us your departure airport—JFK, LAX, or another—and we’ll tailor your trip, even if everyone’s flying from different locations!
How many over +16 traveling with you? *
How many kids? What are their ages at time of travel? *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TRAVEL DETAILS:
*

Name of the person who referred you?

How do you normally book vacations?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL DETAILS
What is your Budget Range (Per Person) for this trip? *
Where would you like to go? (Destination(s)/Cruise) *
(i.e., destination to Aruba or a Caribbean cruise with preferred stops in Tortola and Jamaica)
*

Are you celebrating a special occasion?

The special date do you want to be at your destination?

Does anyone traveling have any ADA requirements?
Would you prefer an all-inclusive rental property or Airbnb?
If cruising, leave blank.
Would you prefer an all-inclusive rental property or Airbnb?
If cruising, leave blank.
Anything EXTRA you would like to add:
RESORT/HOTEL DETAILS:
RESORT TYPE: *
Adult only
Family friendly
Nude Optional
Room Floor: *
Top Floors a must
Bottom Floors a must
I'm okay either way
Booking multiple rooms?
Would you like them to be connected (if available)? *
N/A
Yes
INo
Cruise Cabin location:
Noise
Motion
Smell
Please just select the one you are most sensitive to. This will help you pick the right cabin for your needs.
Room/Stateroom Type: *
What environment and types of activities interest you? *
Serene and peaceful surroundings or a party scene?
As little activity as possible or a vacation filled with sports activities?
A couples environment or an opportunity to meet other singles?
Conservative surroundings or an opportunity to shed inhibitions?
Spa treatments, gourmet dining, water activities, golf, etc.?
AIRLINE SEAT CLASS PREFERENCE: *
First Class
Business Class
Economy Class
N/A
Preferred airline
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TRANSFERS TO/FROM THE AIRPORT TYPE: *
Shared transfers
Private transfers (just your party)
Luxury Private
N/A
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
EXCURSION INTEREST *
Yes, hook me up
Nope
Maybe, send me something
What is on your excursion bucketlist?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
How did you hear about us? *
Friend/Family Member
Internet/Facebook/IG
Google
Other
Met while on vacaying
*

Name of the person who referred you?

How do you normally book vacations?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
How soon are you looking to pay your deposit to secure your vacation? *
Within 48 hours
Within 1 week
Within 2 weeks
Within 1 month
Within 3 months
Within 6 months
Does everyone traveling have a US Passport? *
Yes
No
Domestic travel, not required
BEST WAY TO COMMUNICATE *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SERVICE FEE/PLANNING:
Now that your vacation logistics are set, it's time for us to get to work! To begin your travel planning, a service fee is required, separate from the cost of your trip. This fee includes:

* Review of up to six properties or cruises within your initial travel dates.

* Any changes to dates or destinations may require an additional fee.

SERVICE FEE/PLANNING STRUCTURE: *
Domestic to include (Hawaii, Puerto Rico, US Virgin Island) - $75.00
International - $75
Destination wedding - $200.00
Group travel six (6) people - $100.00
Group travel 10+ people - $175.00
Group travel 20+ people - $250.00
ADD AMOUNT TO BE CHARGED HERE:
Service Fee/Planning Amount to charge:
$ Dollars . Cents
Could you add the amount you want Legna Travel to charge your card?
Payment Information: *
Amex
Discover
MC
Visa
Credit Card

Card Number

Expiration

MM /

YY CVV

What is this? 3 or 4 digit number printed on the back/front of your credit card

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Billing Address - This must be the address where your statement is mailed.
NON-REFUNDABLE/SERVICE FEE *
Yes, I Accept
No, I Do Not Accept
I understand that this fee is non-refundable. If you decide not to take the vacation and I do not send you a quote, this fee is good for 12 months.
Signature
Clear
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Thank you for completing the qualifying form! ?✨ Someone will be in touch with you shortly. ??

Thank you, Legna Travel

Name of the person who referred you?
How do you normally book vacations?

Are you celebrating a special occasion?
The special date do you want to be at your destination?
Does anyone traveling have any ADA requirements?

Name of the person who referred you?
How do you normally book vacations?

Legna Travel
P.O. Box 5691 * Fredericksburg, VA 22403
O: 540.699.0992 * E: info@legnatravel.com * W: legnatravel.com

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RESORT/HOTEL DETAILS:

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TRAVEL PARTNER INFO:

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TRAVEL INFORMATION:

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SPECIAL DETAILS