CLIENT SURVEY

Name *

First Name

Last Name

Spouse/Significant Other's Name

First Name

Last Name

Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone Number

(###)

###

####

Can I contact you via iMessage/SMS?

YES

NO

Military Veteren

YES

NO

Age 55+

YES

NO

Anniversary (if applicable)

MM

DD

YYYY

Preferred Class of Airline Travel

Economy

Premium Economy

Business

First

Cabin Preferences

Please Check All That Apply

I want the cheapest cabin available!

INSIDE

OUTSIDE

BALCONY

MINI-SUITE

SUITE

Cabin Location Preference

Please Check All That Apply

Don't care

LOWER

MIDDLE

UPPER

FORWARD

MID-SHIP

AFT

Does everyone who plans to travel have a current/valid passport? *

Please note: Most countries require your passport to remain valid for at least 6 months beyond the date of entry.

YES

NO

Do you have a preferred time of year you like to travel?

Select all that apply

Any time!

Winter

Spring

Summer

Fall

Where are some places you plan to travel in the next five years?

Select all that apply

Caribbean

Mexico

Alaska

Hawaii

Canada

South America

Europe

Asia

Africa

Ocieana

Would you like to be added to our mailing list? *

Join the mailing list for tips & updates on the latest travel sales!

YES

NO