Additional Travelers Intake Form

How did you hear about us?*
Are you traveling with another party with the same travel details?*
- Yes
- No
Travel Dates:*
Travelers
Traveler 1*
Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):
Prefix First Middle Last Suffix
Traveler 1 Address, City, State & Zip Code*
Traveler 1 Birthdate*
MM slash DD slash YYYY
Traveler 1 Email*
Traveler 1 Phone
Traveler 1: Do You Have a Valid US Passport Book? (Not Card)*
- Yes
- No
*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.
Passport Expiration Date*
MM slash DD slash YYYY

*Note: it can take approximately 6-8 weeks to receive a passport after you apply
Traveler 2*
Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):
Prefix First Middle Last Suffix
Traveler 2 Birthdate*
MM slash DD slash YYYY
Traveler 2 Email*
Traveler 2 Phone
Traveler 2: Do You Have a Valid US Passport Book? (Not Card)*
- Yes
- No
*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.
Passport Expiration Date*
MM slash DD slash YYYY

*Note: it can take approximately 6-8 weeks to receive a passport after you apply
Need to add a third traveler?
- Yes
- No
Traveler 3
Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):
Prefix First Middle Last Suffix
Traveler 3 Birthdate
MM slash DD slash YYYY
Traveler 3 Email
Traveler 3 Phone
Traveler 3: Do You Have a Valid US Passport Book? (Not Card)*
- Yes
- No
*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.
Passport Expiration Date*
MM slash DD slash YYYY

*Note: it can take approximately 6-8 weeks to receive a passport after you apply
Need to add a fourth traveler?
- Yes
- No
Traveler 4
Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):
Prefix First Middle Last Suffix
Traveler 3 Birthdate
MM slash DD slash YYYY
Traveler 4 Email
Traveler 4 Phone
Traveler 4: Do You Have a Valid US Passport Book? (Not Card)*
- Yes
- No
*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.
Passport Expiration Date*
MM slash DD slash YYYY

*Note: it can take approximately 6-8 weeks to receive a passport after you apply
Other Information
Prefer communication via
- Phone
- Email
- In Person
List any special needs, mobility concerns, dietary concerns, or other needs:
Trip Details
We are celebrating our…
- Honeymoon/Wedding
- Anniversary
- Birthday
- Other Occasion
Other Occasion, Specify:
Date
MM slash DD slash YYYY
As far as airfare, would you like:*
- To purchase airfare on your own (also use this option if redeeming airline miles/points)
- To purchase an entire package including airfare
Whether you purchase your own airfare or I include it in the package, I will coordinate your ground transportation from the airport to the resort or cruise pier unless you instruct me otherwise
Our preferred departure airport is:*
We would also consider these airports:
Considerations:*
- Connecting flights are ok, depending on time and price
- Less than 1 hour ride from destination airport to hotel
- Nonstop flights only
Airline preference:
First Class:*
- Yes
- No
We prefer:*
- Window/Middle
- Aisle/Middle
- Aisle/Aisle
- Exit Row
Where are you at in the planning process? We have …*
- Not done any research
- Read online reviews, traveler forums, or message boards
- Asked friends and family for advice
- Compared prices for specific destinations, hotels, or flights
- Looked at general ideas online
- Contacted another travel agent
Have you ever worked with a travel agent when planning previous trips?*
- Yes
- No
Please describe any other preferences for your trip:
How do you plan to pay for medical emergencies, if any were to come up before or during your vacation?*
- Personal Credit Card
- Travel Protection Insurance
- Cash
Remember that if something comes up that you need to cancel your trip or come home early from your trip, you could lose all or a portion of the money you paid and possibly more to get home early. We offer travel insurance to help in the event something unexpected should arise.
When are you planning to book this trip?*

I am committed to my clients and I expect the same level of commitment for the time invested in customizing your vacation experience. Having an understanding of where you are in the process helps me to prioritize and reply to your request in a timely manner. Prices are not guaranteed until the required deposit is received.

Travelers

Other Information

Trip Details