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Michele Guanzon

Epic Travel Concierge

Request for Travel

Dec 1, 2022 to Dec 31, 2023

Traveler Information

First name*

Last name*

Email*

Phone number*

How many people are traveling?*

How Many Children Are Traveling Below the Age of 15 years old?*

If outside of the United States, does everyone have a passport that is expiring 6 months or greater from your return date?*

Yes

Does anyone traveling have Allergies? If Yes, please list allergy's name(s).*

Trip Information

What's The Trip Occassion? (Ex. Birthday, Wedding, Family Reunion, General Vacation, etc.)*?

Where would you like to go?*?

When would you like to depart?*?

When would you like to return?*?

Are your dates flexible?

Yes

What is your preferred time to travel?*

What kind of vibe are you looking for?*?

Romantic

Rest and relaxation

Off the beaten path

Party

Local culture

Family friendly

Food and wine

Other

What is your estimated budget PER PERSON?*

What type of trip do you prefer?*

Resort / Hotel Only

Cruise Only

Both Resort/Hotel AND Cruise

Other

What best describes your accommodation preferences?*

Economy

Moderate

Luxury

Boutique

Other

How Many Rooms Do You Need*

What activities are you interested in?*?

Beach and water

Site Seeing (local attractions)

Scuba / Water Activities

Adventure activities

Golf

Nightlife

Arts and theater

Other

None

Other

Anything you absolutely must do or see?

Will anyone need flights arrangements made for them?*?

Yes

No, I'll make my own flight arrangements

What is your departure city?*?

Special Events & Instructions

Would you like us to plan a special event for your guest before, during or after the trip?*?

Yes

Would you like to order customized items for this trip such as t-shirts, hats, etc?*

Yes

Do you have any special instruction or anything you would you like me to know??

Acknowledgements

I understand there is a non-refundable Design Fee applied to everyone and will be collected prior to any work done for my trip. This will be discussed in detail during my appointment included in the booking request. I understand that if I am not willing to pay the Design Fee, I may miss out on the exclusive discounts and pricing available only by using a travel agency such as Epic Travel Concierge.*

Yes

I understand travel insurance is INCLUDED in my rate, unless otherwise noted in the proposal. If I do NOT want travel insurance I must request an INSURANCE WAIVER.*

Yes