Travel Form

• 

  Travel Interest Survey

  Thanks so much for your interest in [Davisville Travel (Shanetria Kittling Consulting Peace of Mind Travel)]! I'd love to get to know you better before we chat! Can you tell me a little bit about your travel interests?
• Name
  First NameLast Name
• Phone Number
• Email
  example@example.com
• Would you like to be included on our email list?
  YesNo
• Preferred Contact Method
  PhoneEmailEither
• Travel Dates available (from)
  -Month -DayYear

  Date
• To
  -Month -DayYear

  Date
• Are your dates flexible?
  YesNo
• Tell us more about your date flexibility...

• 1) What kind of trip are you thinking of?

  On land? Out at sea? R & R or constant nightlife? Tell us a little bit about where you'd like to go what kind of experience you're interested in once you get there!
• Where would you like to explore?
  MexicoCaribbeanHawaiiAlaskaEuropeCruiseRiver CruiseOther
• Want to elaborate on where your imagination is taking you?
• What kind of vibe are you looking for?
  RomanticRest and RelaxationOff the Beaten PathPartyLocal CultureKid/Family FriendlyAdventure/ActiveDestination WeddingOther
• What activities are you interested in?
  Beach & Water ActivitiesGambilingScubaAdventure ActivitiesGolfNightlifeTheater/ArtsOther
• View or Cabin Preference?
  OceanviewOceanfrontGardenInside Cabin (cruise)Outside Cabin (cruise)Balcony (cruise)Other

• 2) Booking Details

• Travel Budget Details
• What would you like included in your booking?
  AirAirport TransfersCar RentalHotel/Resort/CruiseActivitiesMeals IncludedTips IncludedOther
• What is your trip budget?
• What resort/hotel star rating do you prefer?
  5 star4 star3 star
• If applicable, what size car rental will you need?
  Compact/EconomyStandardFull SizeSUV/Van/PickupLuxuryOther

• Not sure? Read more on car rental sizes.

• Anything else you'd like to share on your budget?
• Party Details
• Size of Travel Party
• Our party includes:
  Infant/ToddlerChildren (< 13)Teens (13-19)Adults (20-59)Seniors (60+ years young)People who require physical accommodationsVeterans/MilitaryFire/Police
• Traveling for a special occasion?
  BirthdayAnniversaryHoneymoonDestination WeddingDestination Bachelor/Bachelorette PartyFamily ReunionCompany Incentive/Reward TravelOther
• Do you need a crib in your room or any other special accommodations?
• How many children and what ages (at time of travel)?
• How many teens and what ages (at time of travel)?
• How many Seniors?
• Please elaborate on the kind of accommodation your traveler(s) require? (Visual? Auditory? Mobility issues/ wheelchair use?)

• 3) Final Thoughts?

  What else would you like us to know?
• Are we missing anything? What else would you like us to know about your party, budget and/or travel preferences?
• Should be Empty:

• Peace of Mind Travel Agency Booking Form

  Contract
• Traveler Information
• Traveler #1
  First NameLast Name
• Date of Birth
  -Month -DayYear

  Date
• E-mail
  example@example.com
• Phone Number
  Please enter a valid phone number.
• Address
  Street Address

  Street Address Line 2

  CityState / Province

  Postal / Zip Code Please Select United States 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 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
• Traveler #2
  First NameLast Name
• Date of Birth
  -Month -DayYear

  Date
• E-mail
  example@example.com
• Phone Number
  Please enter a valid phone number.
• Address
  Street Address

  Street Address Line 2

  CityState / Province

  Postal / Zip Code Please Select United States 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 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
• Other Travelers
• Travel Details
• Travel Date
  -Month -DayYear

  Date
• Destination
• Realistic Budget $
• From which airport would you like to leave from?
  Please Select Los Angeles International Orlando International Airport Newark Liberty International Airport
• Type of Trip
  HoneymoonGetawayBusinessFamily VacationCruiseOther
• Other Services Needed
  Flights OnlyRental CarHotel/ResortsEntertainment

• Terms & Conditions

  The non-refundable retainer fee is good for ONLY 48 hours after itinerary has been sent.

  The non-refundable retainer fee includes:

  • 2 itinerary and package searches to find the best quote that is within your budget;
  • pre-trip travel tips and advisories;
  • email/phone assistance during your travel;
  • post-trip follow-up.

  Its not just about finding you a great deal but its about creating you a memorable travel experience that leaves you satisfied, but also eager to travel more. I take pride in my work and the happiness and satisfaction of my travelers is of the utmost importance to me.

• By signing this form, you have authorized X Travel to charge and store your credit card for Non-refundable agent fee.

• Your Name
  First NameLast Name
• Date
  -Month -DayYear

  Date
• Signature
• My Products
  prevnext( X )

  • 

  

  Travel Agent Non-Refundable Retainer Fee

  $35.75 Quantity 1
  Item subtotal:$0.00

  Total

  $0.00
• Pay with PayPal
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  Card Expiration

  Please click one of the PayPal options to complete payment and submit the form.
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