Leisure Quote Template

This questionnaire is used to let us know what your travel needs are and what kind of vacation you have in mind. It also assists us with finding you the best price options for your request. If you haven't decided on a destination yet, don't worry, this will help us brainstorm and give you some great options!

Let's talk details!

Name #1 (Should match your passport)*

First NameLast Name

Name #2 (Should match your passport)

First NameLast Name

Number of Children*

Ages of the children at time of travel

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Departing From*

When would you like to depart for your trip?*

MonthDayYear

When would you like to return home?*

MonthDayYear

Will you need shuttle transportation to your hotel and back to the airport?*

Would you like a rental vehicle?*

Rental Vehicle preference (If applicable)

CoupeSedanSUVOther

Are your travel dates flexible?*

In order to serve you better, please tell us a little about yourself!

Your Ideal Vacation includes (Check all that apply)*

All Inclusive Resort- Meals & Drinks IncludedAdults Only- Romantic VibeAdults Only- Party VibeAdventure SeekersFamily Friendly Location with Entertainment for the kiddosLuxury Amenities & Fine DiningMountains, Cabins, Snow with the opportunity to be activeSun, Sand, and SurfOther

Resorts Destinations (Check all that apply)*

Have you ever cruised before?*

Cruise Destinations (Check all that apply):

Special Occasion?

Wedding Anniversary Club: At Travellux Travel Agency we celebrate couples! Enter your anniversary date so we can send you a little love your special day!

Please include any specific requests in this section. Do you prefer a particular resort? Are there any Food Allergies? Do you need hopper passes for Disney World? Would you like to check on excursions for your cruise destination? Particular airline? Frequent flyer? Military discount?

Please remember that this is just a tool provided to help you shop for your vacation getaway. It does not obligate you to purchase, but it will give us an opportunity to send you more information tailored to your specific needs and requests.

We look forward to working with you!

Thank you so much,

Travellux Travel Agency