EmailMe Form - Trip Questionnaire

Preferred Agent:

Advisors with Emily's Travel may charge a planning fee: *

Referred by:

Please provide the name of the person who referred you.

Your Name: *

First Last

Your Contact Email: *

Confirm

Phone Number: *

### - ### - ####

Preferred Travel Dates / Weeks / Months: *

Destination: *

Trip Information

How many nights do you prefer to stay? *

Any special occasion?

If so, what is the special occasion date? (Birthday, Anniversary, Wedding Day)

Does anyone in your party have status with a specific airline? If yes, please list the airline below:

Would you like air included in your reservation? *

No thank you, I will book air segments on my own.

Yes, from this airport:

Traveler Information

How many adults, including yourself, will be traveling on this trip? *

How many children, under 18, will be traveling on this trip? *

Are any of these travelers...

Seniors

Military

Police

Firefighters

Do these travelers have passports? *

Yes, we all have passports.

No, but we will start this process ASAP.

No, we'll be staying in the US or cruising from the US.

Preferences

What is the total budget for your package? Please take into consideration your air, accommodations, tours, transportation, and travel protection. *

$3500-$5000

$5000-$7000

$7000-$9000

Whatever it takes for the best experience possible.

Do you have any specific activities you'd like to do?

Any specific requests?

Trip Planning Terms:

Emily's Travel charges a $100/per person CANCELLATION FEE for all canceled bookings. *

I understand the cancellation fee and agree to pay the cancellation fee should I need to cancel for any reason regardless of my travel protection policies.

Planning Process *

I understand and can't wait to travel with you!

Your trip information will be submitted to Emily's Travel. We will research your preferences and contact you within 24-48 business hours. Should your travel request be urgent, please contact your agent by phone directly.