E.Luxe Vacations

E.Luxe Vacations

Trip Itinerary Questionaire

Destination? *

Vacation Date? *

How much do you want to spend for your vacation? *

Do you need flights for your trip? *

Yes

Do you fly all airlines? If no leave me message at the bottom in text box! *

Yes

No No

How many Adults and Children are traveling? *

Names and D.O.B. of all travelers going on this trip *

I recommend travel insurance with every trip I book. If you do not want travel insurance are you willing to sign a travel insurance declination waiver? *

Yes

Do you want to do any excursions while on your vacation? (Example: Jet Skiing, Para Sailing, Boat Ride, Snorkling) *

Yes

Would you like to have a formal dinner while on vacation? If yes write date and roughly the time below in the text box *

Yes

No No

I also offer Pre-Departure protection would you be interested? *

Yes

I also offer Passport and Visa services would you be interested? *

Yes

Name *

Number (What's the best time to call?) *

Email Address *

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