3C Client Information Form

Desired Destination(s) *

Include Airfare? *

If answered "yes" to including airfare rates, what is your preferred airport(s)? *

Budget per person *

Does budget include airfare? *

Dates of Travel *

Flexible on Dates of Travel? *

1. Traveler Information (Lead)

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

2. Traveler Information

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

3. Traveler Information

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

4. Traveler Information

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

5. Traveler Information

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

6. Traveler Information

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

7. Traveler Information

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

8. Traveler Information

First *

Middle. If no middle name, enter "--" *

Last *

Email Address *

Phone Number *

Date of Birth *

Gender *

Additional Information (if you have given thought to hotel preferences, types of tours, etc.) *

Disclaimer: Vacation planning involves a lot of time. My work is based on years of personal experience and professional expertise. I research cruises, hotels, and tours to meet your specific needs; contact suppliers; coordinate transportation; and draft full itineraries. Your final itinerary and documents will give you as smooth a vacation as possible. I will provide up to three destination quotes.