<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Trip Inquiry Form"/> <field type="paragraph" subtype="p" label="Thank you for choosing Dream Vacations by Ebony, LLC to assist with your travel accommodations and to help make your dream vacation a reality. By completing this form, you authorize Ebony Buchanan and Dream Vacations by Ebony to begin planning your trip based on the information provided. You further authorize Ebony Buchanan and Dream Vacations by Ebony to process the required retainer fee using your credit or debit card, or, if preferred, to issue a PayPal invoice for payment."/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email Address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Please provide your desired destination." description="If you're not sure please provide 2 you are considering." name="destination" subtype="text" className="form-control"/> <field type="select" required="true" label="Do you have a passport?" name="do-you-have-a-passprt" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="date" required="true" label="Departure Date" name="starting-at" className="form-control"/> <field type="date" required="true" label="Return Date" name="ending-at" className="form-control"/> <field type="text" label="If your travel dates are flexible, please provide your full date range." name="if-your-travel-dates-are-flexible-please-provide-your-full-date-range" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Adults Traveling" name="number-of-travelers" value="0" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Number of children traveling with each child's age at the time of travel.&nbsp;" placeholder="ex. 2 children ages 10 and 16" name="number-of-children" className="form-control"/> <field type="select" required="true" label="What is the budget PER TRAVELER&nbsp; ?" description="This just gives me a general starting point and can always be changed later." name="what-is-the-budget-per-traveler" className="form-control"> <option label="$300-$600" value="300600">$300-$600</option> <option label="$600-$900" value="600900">$600-$900</option> <option label="$900-$1,200" value="9001200">$900-$1,200</option> <option label="$1,200-$1,500" value="12001500">$1,200-$1,500</option> <option label="$1,500-$1,900" value="15001900">$1,500-$1,900</option> <option label="$1,900-$2,300" value="19002300">$1,900-$2,300</option> <option label="$2,300-$2,600" value="23002600">$2,300-$2,600</option> <option label="$2,600+" value="2600">$2,600+</option> </field> <field type="select" required="true" label="Choose your payment method." name="what-kind-of-payment-plan-would-you-like" className="form-control"> <option label="Deposit with payment plan" value="deposit-with-payment-plan">Deposit with payment plan</option> <option label="Pay in Full " value="pay-in-full-">Pay in Full </option> </field> <field type="select" required="true" label="Vacation Package" name="select-1589307310621" className="form-control"> <option label="All inclusive resort package with flights, transfers and vacation protection (deposit is typically $600 per person)" value="all-inclusive-resort-package-with-flights-transfers-and-vacation-protection-deposit-is-typically-600-per-person">All inclusive resort package with flights, transfers and vacation protection (deposit is typically $600 per person)</option> <option label="All inclusive resort package (no flights) with transfers and vacation protection (deposit is typically $250 per person)" value="all-inclusive-resort-package-no-flights-with-transfers-and-vacation-protection-deposit-is-typically-250-per-person">All inclusive resort package (no flights) with transfers and vacation protection (deposit is typically $250 per person)</option> <option label="Hotel and Flight bundle (Domestic travel)" value="hotel-and-flight-bundle-domestic-travel">Hotel and Flight bundle (Domestic travel)</option> <option label="Hotel only (no flights, domestic travel)" value="hotel-only-no-flights-domestic-travel">Hotel only (no flights, domestic travel)</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Excursions and Tours Only" value="excursions-and-tours-only">Excursions and Tours Only</option> </field> <field type="select" required="true" label="Bedding Request" name="bedding-request" className="form-control"> <option label="King Bed" value="king-bed">King Bed</option> <option label="2 Beds (usually Queen or Full)" value="2-beds-usually-queen-or-full">2 Beds (usually Queen or Full)</option> <option label="Family Suite (only available at certain resorts and hotels)" value="family-suite-only-available-at-certain-resorts-and-hotels">Family Suite (only available at certain resorts and hotels)</option> </field> <field type="date" required="true" label="What date would you like to submit your deposit? Please provide a specific date. (Trips departing within 80 days are not eligible for a payment plan.)" name="what-date-would-you-like-to-submit-your-deposit-please-provide-a-specific-date-trips-departing-within-80-days-are-not-eligible-for-a-payment-plan" className="form-control"/> <field type="textarea" label="Please share any special occasions, must-do activities, preferred room&nbsp; categories, or any other detail that would help to tailor your travel experience." name="special-requests-desired-activities-additional-information-" className="form-control"/> <field type="text" label="Were you referred? If yes, please provide the full name of the person who referred you." name="text-1657071213212" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Planning / Retainer Fee"/> <field type="radio-group" required="true" label="A retainer fee is required before vacation quote requests are processed. For trips with four travelers or fewer, the retainer fee is $50. For trips with five to nine travelers, the fee is $75. For both options, 50% of the retainer will be applied to your trip balance if you book within 14 days of receiving your quote. For standard group trips of 10–20 travelers, the retainer fee is $100 and is nonrefundable and not applied to the trip balance. For weddings, family reunions, class reunions, group celebration trips and similar events, the retainer fee is $250 and is nonrefundable and not applied to the trip invoice. If you choose not to proceed with booking after quotes are provided, the retainer fee remains nonrefundable. Invoices are sent via email, and the retainer must be paid to begin the vacation planning process." name="retainer-fees-are-as-followed-for-trips-with-4-people-or-less-the-fee-is-50-for-trips-with-59-people-the-fee-is-75-50-of-the-fees-will-be-applied-to-your-trip-balance-if-booked-within-14-days-if-you-choose-not-to-book-your-trip-after-the-quotes-have-been-provided-and-received-the-fees-are-nonrefundable-for-groups-of-10-or-more-the-cost-is-100-none-of-this-fee-is-applied-to-the-trip-balance-invoices-are-sent-via-email-the-fees-must-be-paid-in-order-to-receive-your-vacation-quote-requests-please-select-the-method-of-payment-below"> <option label="Credit /Debit Card paid via Invoice" value="credit-debit-card-paid-via-invoice">Credit /Debit Card paid via Invoice</option> <option label="Paypal Invoice" value="paypal-invoice">Paypal Invoice</option> </field> <field type="header" subtype="h1" label="Terms and Conditions&nbsp;"/> <field type="paragraph" subtype="p" label="I acknowledge that all of the information provided above is accurate and that this form has been completed to the best of my ability. I am retaining Ebony Buchanan and Dream Vacations by Ebony and understand that the following services will be provided: professional travel planning assistance, obtaining quotes for two to three vacation package itineraries, booking the selected itinerary, and post-trip follow-up. I understand that an additional two quotes may be requested for a fee of $25 (applicable to trips with 1–9 guests only), and that this additional quote fee is not applied to the booking balance. I acknowledge that all rates quoted are subject to change until a deposit or full payment is made. For groups of nine people or fewer, 50% of the retainer fee will be applied to the booking if the trip is confirmed within 14 days of receiving the quotes. If the trip is not booked within 14 days, the retainer fee becomes nonrefundable. For groups of 10 or more guests, none of the retainer fees are applied to the trip balance. I understand that the retainer fee is the only fee processed initially, and that the required trip deposit will be charged separately once I accept the itinerary of my choice."/> <field type="textarea" required="true" label="Client's Signature&nbsp;" name="clients-signature-" className="form-control"/> </fields> </form-template> </body> </html>
Click to sign
Submit form
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways
Type
Draw
×
By signing, I understand that this is a legally binding contract.