Contact Info
First name
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Last name
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Email
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Phone number
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Address Line 1
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City
State
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How did you hear about Momentum Vacations? If someone referred you, please tell us their name so we can thank them.
What is your preferred method of communication?
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Email
Phone
What is your Instagram handle?
Travel Preferences
Where would you like to go?
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What are your preferred dates of travel? Are your travel dates firm or flexible?
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How many total nights would you like to travel?
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Please tell me more about the people that will be traveling. The names and relationship for each traveler and if there are any children please include their ages at the time of travel.
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What is the inspiration for this trip? Are you celebrating an occasion? What experiences do you hope to have? What are your top priorities?
What is your departure city?
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What price range are you comfortable with (a total for all travelers)?
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up to $4,500
$4,500 to $7,500
$7,500 to $10,000
$10,000 to $15,000
$15,000 to $20,000
$20,000+
Budget details and/or comments?
What class of service would you like us to quote for your airfare?
I will book my flights on my own
I plan to use miles or points to book my flights
I prefer Premium Economy (where seats are assigned in advance when possible)
I prefer Comfort, Business or First Class (when possible)
Please select three (3) of your top priorities:
Best experience for the investment
Lowest price
Authentic, immersive experiences
Only the highlights, main attractions
Best accommodations: luxury, prime location, 5 star
Better accommodations: good location, 4 star
Good accommodations: clean, safe, 3.5 star
Smaller, intimate, relaxing experience
Larger, more to do, more to experience
Excursions off property
Stay on property
What kind of vibe are you looking to experience?
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Romantic
Rest and relaxation
Off the beaten path
Party
Local culture
Family friendly
Food and wine
Other
What activities are you interested in?
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Beach and water
Gambling
Scuba
Adventure activities
Golf
Nightlife
Arts and theater
Other
What else would you like us to know?
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Optional Questions to help us get to know you!
Would you like to receive Momentum Vacations once weekly travel newsletter?
Yes, please!
No, thank you.
Have you worked with a travel advisor before?
Yes!
No, this will be our first time.
How often do you travel for pleasure?
Once every 1-3 years to celebrate big occasions
One international trip per year plus some domestic getaways
2-3 international trips per year plus some domestic getaways
Big trips, small trips, we travel as often as possible
What bucket list trip would you take if money was no object?
In addition to this trip, what trips and/or destinations are at the top of your priority list for the next 3-5 years?
What are your favorite beverages?
What is your favorite food or type of cuisine?
What do you do for fun (hobbies and/or activities) when you are not busy at work?
What was your favorite vacation so far? Please tell us why you loved it.
What was one of your least favorite travel experiences? What happened?
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