Customer Information Form Date MM slash DD slash YYYY Client Name: Email: Phone:Address: Vacation Budget:Insurance: Yes No (If no, obtain signed waiver) Number of Adults:Number of Children and Ages: Dates of Travel: MM slash DD slash YYYY Flexible: Yes No Air TravelDeparture City: Airline Preference (Frequent Flyer Programs): Seat Preference: Economy Extra Leg Room/Premium Business Class First Class Aisle Middle Window Bulkhead Forward Wing Cruise VacationCruise Preferences (Frequent Cruiser Programs): Cruise Itinerary: Cruise Length: Pre and Post Cruise Nights: Yes No Cabin Class: Beverage Plan: Yes No Beverage Plan Type: Hotel and Resort Vacation# of Nights:Hotel Preferences (Frequent Guest Programs):# of Rooms/Arrangement:Room: Standard Room Garden View Ocean View/Front Other: Other: Features: All Inclusive Adults Only Family Friendly Concierge Level: Suite/Jr Suite On the Beach Near City Center Kids Club Near Air/Cruise Port Luxury Resort Activities On-Site Standard View Ocean View Concierge Level: Package TourCar Preferences (Frequent Renter Programs): Add-Ons: Car Category: Compact Mid Size Full Size Luxury Other Car RentalCar Preferences (Frequent Renter Programs): Add-Ons: Car Category: Compact Mid Size Full Size Luxury Other Package TourCountry or Countries of Interest: Escorted Independent Activity Level: Other InformationWhat hotels have you stayed in and enjoyed? What cruiselines and resorts have you enjoyed before, if any? What activities do you enjoy when travelling? Sightseeing/History Culture/Arts Beach/Sun Active/Sports Wine/Culinary Shopping Spa Notes:
