EmailMe Form - DestinationsbySherie

Name *

Prefix First Last Suffix

Primary Traveler Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

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

Time Zone

Please Indicate Your Preferred Method of Contact *

Phone

Email

Text

Email *

Emergency Contact. Please provide the First and Last name and phone number

How did you hear about us?

Preferred Travel Date *

MM / DD / YYYY

Preferred Return Date *

MM / DD / YYYY

Select the Purpose of Your Trip

If "Other" please specify

**Please Select This Option Only If You Are Planning A Cruise Otherwise, Please Select the Group Cruise Name or Select N/A If Not Applicable in the Drop-Down Box Below.**

Are all travelers fully vaccinated for COVID-19? (Fully vaccinated means you have received both doses) *

Please select the option that best reflects your Per Person Budget *

Will you need Transportation *

Will you need airfare? *

Yes

No

Home Airport

For Car Rental Only: Where will you be pick up the vehicle?

For Car Rental Only: Please Specify what type of vehicle:

For Car Rental Only: When will you pick up and drop off the vehicle?

For Car Rental Only: Please Specify Insurance Type

For a Cruise please list your departure port

For Cruise Only: If you are a frequent cruise traveler please specify membership #. Example VIFP# (Carnival), Crown & Anchor Society, etc...

Please list your intended cruise line, destination and ship (if known)

Length of cruise

How many adults? *

How many children? *

Name (as it appears on passport), birth date and age of all travelers *

YOU MUST PROVIDE A COPY OF YOUR PASSPORT upon completion of International Bookings *

Would you like to Include a drink or Wifi Package (cruise only)

Do you prefer early or late dining? (cruise only)

Please Specify Cabin Type

Interior

Ocean View

Balcony

N/A

For Cruises Only. Do you have a bedding preference?

If you are traveling internationally, you must provide a copy of your Passport. Please type your name below that you acknowledge *

If you have resorts or hotels in mind, please give us your top three. Otherwise, tell us what would make this trip special. If none type "N/A" *

Would you like Travelers Insurance? (Highly Recommended)

Would you like Excursions/Activities? (If Yes, Specify)

Notes

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 $125.00 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. *