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Thank you for choosing Empowered Travel & Events! We are thrilled to help you with your first or next group travel experience. Our travel team knows how tedious the process can be so we want to ensure you, that as our valued client, we will do everything that we can to provide you the best worry-free travel experience! To get started, we require some information to help us better assist you. Thank you in advance for your business. We look forward to working with you!
Individual/Host/Hostess or Group Leader
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First Name
Last Name
Cell Phone Number
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Area Code
Cell Phone Number
Email Address
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Address
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
How can we support your group?
What type services can we support you with? Select as many as you need.
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Individual Quote (under 10 rooms)
Group Quote (10 rooms or more)
Plan, Design, or Manage a trip (consultation)
Group Guide or Host
Onsite -Concierge Services
All of the above
Venue Locator & Quote
Other
How large is your group? If Cruising qualifying groups start at 16 guest or more based on double occupancy
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10 -15
26 - 49
50 - 100
101 - 150
151 - 200+
Couples/Family
Other
What part of the world or specific location would you like your group like to experience?
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Africa
Antarctica
Asia
Australia
Europe
North America
South America
Not sure, Help me please decide!
Mexico
Caribbean
Other
Travel Dates & Info
Departure Date
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Month
-
Day
Year
Date
Return Date
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Month
-
Day
Year
Date
Departure City & State or Airport Code
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Return City & State or Airport Code
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Optional Travel Dates
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What Type of Group Event
What type of event will you be hosting or need support with?
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Fundraiser
Wedding
Corporate
Family Reuion
Retreat
Themed/Fun & Leisure
Special Occasions
Religious
Spa & Relaxation
Couples Only
Group Getaway
Sports Group
Professional
Youth Group
Educational
Other
Group Packages & Accommodations
What is your per-person budget for this trip? Consider airfare, ground transportation, and activities
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$1500 - $2500*
$2500 - $3500
$3500 - $4500
$4500 - $5500
$5500 - $6500
$6500 - $8500
8500 - $10000+
Other
What type of accommodations are you seeking? Select all that apply
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All-inclusive with Air
All-Inclusive w/o Air
Air, Car & Hotel
Guided Group Tour
Cruise
Cruise w/ hotel package
Luxury Home
Private Yacht
River Cruise
Charter Plane
Charter Bus
Train
Hotel Only
Penthouse Suites
Transportation/ Hotel Transfers
Over Water Bungalows
Tree House
Glamping (Glorified Camping)
Beach Front
Hotel or Resort Rating Preference.
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3 Star
4 Star
5 Star
1) Do you have a passport and are there 6 months or more before it expires?
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Yes
No
What is the preferred number of days do you prefer for your experience?
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3-5
6-9
10-15
15+
Would you like to enhance your experience by including an excursion for the group?
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Yes
No
Allow guest to choose individually from a selection
Other
Due to the Pandemic, we highly recommend travel insurance for all guests. Any qualified reimbursements or claims will be provided directly through the insurance vendor according to their policy and NOT through our agency under any circumstances.
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Yes, I understand that there are NO refunds given through the travel agency. I/we understand that 1/we are entitled to a refund, based on the vendors requirements with a qualified insurance package.
No, I fully accept the risk of not purchasing insurance and understand that my agent nor the vendor is responsible for any mishaps, financial or otherwise, that could potentially arise before, during or after the trip.
We offer two options for payment. Please note your trip must be 60 days or more from the travel date to qualify for the payment plan option. We accept Credit/Debit cards only for trip payments.
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In Full
Recurring Automatic Payment Plan w/Initial deposit ( On select All-Inclusive Packages, Tours, Services, and Cruises Only)
Please list any specific questions or celebrations that our team should know
Lets Get Started! Choose your option below to secure services
There is a non-refundable planning fee of $150.00. We accept Zelle, Venmo, or Cash App for planning fees only. Once payment is received our team will get started on processing your quote. Please allow 5-7 business days for processing... Let's Travel!!!
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I will Cash App my Trip Planning Fee to $EmpoweredTravel
I will Venmo my Trip Planning Fee to https://www.venmo.com/u/EmpoweredTravel
I will Zelle my Trip Planning Fee to: mzjazzd@gmail.com
I will pay via credit card below for my Trip Planning Fee
Initial Planning Fee
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Planning Fee - Trip Quote
$
150.00
Up to three travel experience quotes for clients based on information provided.
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Total
$
0.00
Payment Methods
Credit Card
Apple Pay
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Google Pay
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