Customer Booking Form

By completing this form, I will have all the information needed to finalize your booking. No prices are final until payment is made, and prices can fluctuate daily or even hourly! Depending on how quickly your departure date is approaching, as well as the travel provider, I may require a deposit or payment in full. If the quoted price deviates less than 5% from the cost when payment is applied, you are authorizing me to proceed with payment. When final pricing at the time of payment is more than 5% off the quote, I will contact you to determine your preference as to how I proceed with your booking.

First Name

Include MI or middle name to match legal name on documents.

Last Name

Email *

Phone

Preferred method of contact: *

Phone
Text
Email

Address

Date of Birth *

Country *

For travel documents/Passport

Passport Number

Issue Date

Expiration Date

Airline or Property Loyalty Program Member Numbers

Please list any loyalty programs to which you belong and your membership number. Always confirm upon check-in to ensure points are rewarded.

TSA Known Traveler Number (KTN)

Are you the primary contact for this trip?

If not, please provide the name of the primary contact, and add them as an additional traveler on this form. *

First and last name, please.

Is there another traveler on this itinerary? *

Include MI or middle name to match legal name on documents.

Preferred method of contact: *

Phone
Text
Email

Date of Birth *

Country *

For travel documents/Passport

Passport Number

Issue Date

Expiration Date

Airline or Property Loyalty Program Member Numbers

Please list any loyalty programs to which you belong and your membership number. Always confirm upon check-in to ensure points are rewarded.

TSA Known Traveler Number (KTN)

Is there a third traveler on this itinerary? *

Include MI or middle name to match legal name on documents.

Preferred method of contact: *

Phone
Text
Email

Date of Birth *

Country *

For travel documents/Passport

Passport Number

Issue Date

Expiration Date

Airline or Property Loyalty Program Member Numbers

Please list any loyalty programs to which you belong and your membership number. Always confirm upon check-in to ensure points are rewarded.

TSA Known Traveler Number (KTN)

Is there a fourth traveler on this itinerary? *

Include MI or middle name to match legal name on documents.

Preferred method of contact: *

Phone
Text
Email

Date of Birth *

Country *

For travel documents/Passport

Passport Number

Issue Date

Expiration Date

Airline or Property Loyalty Program Member Numbers

Please list any loyalty programs to which you belong and your membership number. Always confirm upon check-in to ensure points are rewarded.

TSA Known Traveler Number (KTN)

Are there more than four travelers on this itinerary? *

Please provide information for any additional travelers.

Prices can fluctuate in the travel business between the date a trip is quoted and when initial payment is made to secure the booking. You are authorizing me to book your trip with the payment information provided on the next page, according to the terms and conditions outlined.

The travel industry is well known for pricing fluctuations - sometimes daily or even hourly. With this in mind, please understand that your quoted price is the best estimate available to me at the time of quotation. No pricing is guaranteed until the first payment is made to lock in your reservation and secure your booking. When working with me, my policy is to provide the best quotation possible. If the price changes 5% or less between the time of my quote and when payment is made, I will submit payment through the payment method you provide to me for booking purposes. If the price fluctuates by more than 5%, I will reach out to you to determine the best course of action. You may decide a price increase is a stretch for your budget. Or a price decrease may make you consider upgrading your vacation or accommodations. Don't worry, we'll make the best decisions for your vacation together.

I agree to accept bookings within a 5% price differential from original quotation.

Booking Terms and Conditions

Full Legal Name

This will serve as your e-signature.

Name on Card

Zip Code

Card 1st 4 digits

Next 8 digits

Last 4 Digits

Expiration

CVV

Thanks for the info!

Once booking is complete, I'll send a confirmation of payment, payment schedule (if only a deposit has been collected), a full, custom itinerary including important confirmation numbers and location information, as well as my handy travel tips. Please allow up to 2 business days for full confirmations.

Customer Booking Form

Thanks for the info!

More information

Thanks for the info!

More information

Travel Interest Questionnaire