EmailMeForm
Client Travel Questionnaire
Full Legal Name of primary traveler:
*
Please list name EXACTLY as it appears on your passport and driver's license. Failure to do so can result in airline and supplier penalites once a deposit is made.
Date of Birth
MM/DD/YYYY
*
Primary Traveler
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Primary Traveler
Phone
*
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Primary Traveler
Email
*
Primary Traveler
Full Legal Name of Spouse or Companion
*
Must match Passport and Driver's license. If you have no companion travelers, type NA
Date of Birth
MM/DD/YYYY
*
Spouse or companion
# of ADULTS traveling in your party
*
# of CHILDREN traveling in your party
Ages of children at time of travel.
Please separate by using a space or comma.
Does everyone traveling have a current passport?
*
Yes
No
Not sure
Please ensure passports are valid at least 6 months from the day you plan to return from your travels.
Date to begin travel
MM/DD/YYYY
*
If you are unsure of exact travel dates, please leave an estimated month and year in the box below
Date to begin return
MM/DD/YYYY
*
Month and Year I plan to Travel if exact dates above are unknown
TRAVEL INFORMATION
In an airplane, I prefer
First Class
Business Class
Coach/Economy
While flying, I prefer
Window Seat
Middle Seat
Aisle
I want to travel ONLY within the USA
*
Yes
No
Give a brief description of places and resorts in the USA you want to travel TO.
Please list in the order you would like to visit, if known.
Areas outside of the USA that interest me:
Type of Travel desired
Check all that apply.
Land Tour
Hotel & Air
Hotel Only
Car Rental
All-inclusive resort
Cruise
Additional Information
Anything you would like us to know. Celebrations, allergies, requirements, etc.
BUDGET
*
$1500-$2000 per person
$2000-$3000 per person
$3000-$4500 per person
$4500-$6000 per person
No budget, whatever it takes
What is your expected budget PER PERSON including air, resort/cruise accommodations, car rentals? This is the maximum you anticipate to spend, EXCLUDING excursions, food and other incidentals such as spa treatments.
Please select budget amount only on what Dynamic Journeys Travel is researching. Example: If you have already booked your air and you are asking us to quote you a resort price, do NOT include the air portion.
You may type your exact budget here if desired.
Resort/Accommodation Preferences
2-3 star
4 star
5 star
Chains such as Starwood, Ritz, Hilton
Boutique Hotels and Resorts
SPECIFIC interests and activties, places to visit during this vacation include:
Example: Golf, spa, volcano hiking, cooking classes, certain attractions you want to visit, etc.
Special Medical or Dietary Needs:
Comments or Questions:
Preferred airport
What has prompted you to contact Dynamic Journeys Travel?
I'm a very busy person and simply do not have time to plan. I want a professional to plan everything so I just have to pack and go!
I've been comparing prices online but think you may be able to find me something for less $.
I'm overwhelmed with choices.
Other
How did you discover Dynamic Journeys Travel?
Are you an active member of the United States military?
Yes
No