Share your information with
Carissa Davila
Hiraya Holidays
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="New Booking Inquiry"/> <field type="paragraph" subtype="p" label="Welcome! I’m excited to help you plan your trip. To get started, please complete the form with as much detail as possible. The person filling out the form will be considered the primary traveler (18+)."/> <field type="paragraph" subtype="p" label="For packages that include flights, travel must begin and end in the United States. If your trip starts or ends outside the U.S., we can assist with all other arrangements (hotels, rental cars, reservations, etc) EXCEPT flights."/> <field type="paragraph" subtype="p" label="If you’re already working with another agency, please refrain from submitting a form."/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" placeholder="ex: 000-000-0000" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" placeholder="ex: example@example.com" name="email" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are you a new or returning client?" name="have-you-ever-worked-with-a-travel-agency-before"> <option label="New Client" value="new-client">New Client</option> <option label="Returning" value="returning">Returning</option> </field> <field type="select" required="true" label="What is your preferred method of contact if a follow-up is needed?" description="*Disclosure: If you select Text Message as your preferred follow-up method you consent to receive messages from Hiraya Holidays. Standard SMS and data rates may apply. Please note that while primary communication will occur via text required forms and documentation must still be completed via email." name="what-is-your-preferred-method-of-contact-if-a-followup-is-needed" className="form-control"> <option label="No Preference" value="no-preference">No Preference</option> <option label="E-mail" value="email">E-mail</option> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Text Message*" value="text-message">Text Message*</option> </field> <field type="select" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control"> <option label="Referral" value="referral">Referral</option> <option label="Google" value="google">Google</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Business Card" value="business-card">Business Card</option> </field> <field type="text" label="If this is a referral, please input the full name of the person who referred you:" placeholder="ex: John Smith" name="if-this-is-a-referral-please-input-the-name-of-the-person-who-referred-you" subtype="text" className="form-control"/> <field type="select" required="true" label="Which package suits you best? View our package types here www.hirayaholidays.com/faqs-packages" name="which-package-suits-you-best" className="form-control"> <option label="Jetsetter Pass: Single Stop" value="jetsetter-pass-single-stop">Jetsetter Pass: Single Stop</option> <option label="Jetsetter Pass: Multi-City Stops" value="jetsetter-pass-multicity-stops">Jetsetter Pass: Multi-City Stops</option> <option label="Rate Radar" value="rate-radar">Rate Radar</option> <option label="Grand Voyagers" value="grand-voyagers">Grand Voyagers</option> </field> <field type="checkbox-group" required="true" label="What kind of booking are you interested in? For "Rate Radar" Pacakage, please select "Hotel Only"" description="The term package indicates that flights will be quoted with the price." name="what-kind-of-booking-are-you-interested-in"> <option label="International Destinations Only Package" value="international-destinations-only-package">International Destinations Only Package</option> <option label="Destinations within the U.S. Only Package (including HI, AK & other territories)" value="destinations-within-the-us-only-package-including-hi-ak-other-territories">Destinations within the U.S. Only Package (including HI, AK & other territories)</option> <option label="Domestic & International Combo/ Multi-City Package" value="domestic-international-combo-multicity-package">Domestic & International Combo/ Multi-City Package</option> <option label="All-Inclusive Resort Package" value="allinclusive-resort-package">All-Inclusive Resort Package</option> <option label="Disney Package" value="disney-package">Disney Package</option> <option label="Cruise Package" value="cruise-package">Cruise Package</option> <option label="Sports, Concert, or Convention Package (event tickets included)" value="sports-concert-or-convention-package-event-tickets-included">Sports, Concert, or Convention Package (event tickets included)</option> <option label="Group (8+) Package or Hotel Room Block" value="group-8-package-or-hotel-room-block">Group (8+) Package or Hotel Room Block</option> <option label="Corporate Travel Package" value="corporate-travel-package">Corporate Travel Package</option> <option label="Hotel Only (7 people or less)" value="hotel-only-7-people-or-less">Hotel Only (7 people or less)</option> <option label="Flights Only" value="flights-only">Flights Only</option> <option label="Activities Only" value="activities-only">Activities Only</option> </field> <field type="text" label="Are you traveling for any special occasion? If so, please specify below:" placeholder="ex: birthday anniversary team-bonding" name="are-you-traveling-for-any-special-occasion-if-so-please-specify-below" subtype="text" className="form-control"/> <field type="text" required="true" label="How many adults (18+) will be traveling under this booking (including yourself as the primary traveler)?" placeholder="ex: 5" name="how-many-adults-18-will-be-traveling-under-this-booking-including-yourself-as-the-primary-traveler" subtype="text" className="form-control"/> <field type="text" required="true" label="How many minors will be traveling under this booking? Please also provide their ages at the time of departure." placeholder="ex: 2 minors total. 5 year old and a 12 year old" name="how-many-minors-will-be-traveling-under-this-booking-please-also-provide-their-ages-at-the-time-of-departure" subtype="text" className="form-control"/> <field type="text" required="true" label="How many rooms are needed for this booking based on the number of travelers disclosed in the lines above? If unsure, please write "unsure" and we can go over this together." description="Please note that the minimum occupancy of a hotel room is 4. This varies by hotel but we can discuss this more if you're unsure." placeholder="ex: 2 rooms" name="how-many-rooms-are-needed-for-this-booking-based-on-the-number-of-travelers-disclosed-in-the-lines-above-if-unsure-please-write-unsure-and-we-can-go-over-this-together" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your total budget per person for this trip? For "Rate Radar" Package, please input "N/A". If this is a hotel room block, please input "unsure"." description="This just gives me a general starting point budget for all travelers included in this form and can always be changed later." placeholder="ex. $1 500" name="what-is-your-total-budget-for-this-trip" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city? For "Rate Radar" Package or hotel only, please input "N/A"." description="Where will you (the primary traveler) be flying from?" placeholder="ex: San Antonio" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your preferred departure airport code? For "Rate Radar" Package or hotel only, please input "N/A"." description="Some major cities have multiple airports available for departure. If yours (the primary traveler) doesn't just input the closest airport here." placeholder="ex: SAT" name="what-is-your-preferred-departure-airport" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go? If undecided, put "I'm unsure" below and I can make some suggestions based on the budget.&nbsp;" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Greece Mexico Paris" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your preferred arrival airport code? If undecided on destination, put "I'm unsure". For "Rate Radar" Package or hotel only, please input "N/A"." name="what-is-your-preferred-arrival-airport-code-if-undecided-on-destination-put-im-unsure" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you (the primary traveler) would like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you (the primary traveler) would like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible? For "Rate Radar" Package, please input "N/A"." name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="I am booking a "Rate Radar" Package." value="i-am-booking-a-rate-radar-package">I am booking a "Rate Radar" Package.</option> </field> <field type="textarea" label="Misc Notes:" description="For "Rate Radar" Package please input the hotel name room type bed size and price that you see on Expedia to see if I can beat it." name="misc-notes" className="form-control"/> </fields> </form-template> </body> </html>
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.