CUSTOMER INFORMATION FORM Name Email Phone Address Vacation Budget Number Of Adults Number Of Children & Ages Dates Of Travel Destinations Of Interest Flexible Yes No 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 & Post Cruise Nights Yes No Cabin Class Beverage Plan Yes No Beverage Plan Type HOTEL & RESORT VACATION # Of Nights Hotel Preferences(Frequent Guest Programs) Room Standard Room Garden View Ocean View/Front 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 CAR RENTAL Car Preference(Frequent Renter Programs) Add-Ons Car Category Compact Mid Size Full Size Luxury Other PACKAGE TOUR Country Or Countries Of Interest Escorted Independent Activity Level OTHER INFORMATION What Hotels have you Stayed in & Enjoyed? What cruiselines & resorts have you enjoyed before, if any? What activities do you enjoy when traveling? Sightseeing/History Culture/Arts Beach/Sun Active/Sports Wine/Culinary Shopping Spa Notes Submit