|
Contact Information
|
|
|
Name:
|
_____________________________________________
|
|
|
E-mail Address:
|
_____________________________________________
Example: yourname@abc.com
|
|
|
Daytime
Phone:
|
_____________________________________________
The name of your client contact for this trip
|
|
|
Address:
|
_____________________________________________
_____________________________________________
|
|
General
|
|
|
Number of Travelers:
|
_____________________________________________
_____________________________________________
Full names, as they appear on passports, for all travelers
|
|
|
Departing City:
|
_____________________________________________
|
|
|
|
Need
to book airfare? ___Yes ___No
|
|
|
Departure Date:
|
_____________________________________________
This date can be approximate.
|
|
|
Return Date:
|
_____________________________________________
This date can be approximate.
|
|
Destinations
|
|
|
Destinations:
|
_____________________________________________
|
|
|
|
Has
traveled internationally before? ___Yes ___No
|
|
|
|
Has
traveled to the destination(s) before? ___Yes ___No
|
|
Services
|
|
|
Accommodations:
|
[
] Moderate [ ] Deluxe [ ] Luxury
|
|
|
Transportation:
|
[
] Rail [ ] Car Rental [ ] Car & Driver
[ ] Motor Coach
Tour
|
|
|
Sightseeing
/ Tours:
|
[
] Self Guided [ ] Private Guide [ ]Group
Tour
[ ] Half Day
[ ] Full Day
|
|
|
Special Requirements:
|
_____________________________________________
_____________________________________________
Example: dietary, wheel chair access, non-smoking, etc...
|
|
Budget
|
|
|
Budget Guidelines:
|
_____________________________________________
Total trip cost per person
|
|
|
Budget Includes:
|
[
] Hotel [ ] Meals [ ] Air [ ] Car
[ ] Rail [ ] Transfers
[ ] Private Guide [ ] Group Tours
|
|
Activities
|
|
|
Travel Pace:
|
___
Leisurely ___ Moderate ___ Fast Paced
|
|
|
Physical Activities:
|
_____________________________________________
For example; trekking, wildlife viewing, skiing, golf, sailing, etc
|
|
|
Cultural Activities:
|
_____________________________________________
For example; local culture, art, history, cooking classes, etc
|
|
|
Children's
Interests:
|
_____________________________________________
If traveling with children, their interests and ages
|
