Customer Information Form
Date Completed
-
Month
-
Day
Year
Date
Client Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vacation Budget
Number of Adults
Number of Children
Children Ages
Vacation Start Date
-
Month
-
Day
Year
Date
Vacation End Date
-
Month
-
Day
Year
Date
Destination of Interest
Air Travel
Departure City
Airline Preference (Frequent Flyer Programs)
Seat Preference
Economy
Extra Leg Room/Premium
Business Class
First Class
Aisle
Middle
Window
Bulkhead
Forward
Wing
Cruise Vacation
Cruise 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
Number of Nights
Hotel Preferences (Frequent Guest Programs)
# of Rooms/Arrangement
Features
Standard Room
Garden View
Ocean View/Front
All Inclusive
Adults Only
Family Friendly
Suite/Jr Suite
On the Beach
Near City Center
Kids Club
Near Air/Cruise Port
Luxury Resort
Activities On-Site
Standard View
Ocean View
Other
Car Rental
Car Preferences (Frequent Renter Programs)
Add-Ons
Car Category
Compact
Mid Size
Full Size
Luxury
Other
Package Tour
Country or Countries of Interest
Country or Countries of Interest
Escorted
Independent Activity Level
Other Information
What 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
Other
What activities do you enjoy when traveling?
Wine/Culinary
Shopping
Spa
Other
Additional Notes
Submit
Should be Empty: