Client Information
First name
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Last name
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Email
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Phone number
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About Your Trip
What kind of trip are you planning?
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Leisure
Celebratory Travel (Ex. Honeymoon, Anniversary, Birthday, Graduation, Retirement)
Business Travel (Ex. Incentive, Client Appreciation / Advisory)
How are you traveling?
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Solo
Couple / Duo
Family (Same household up to 5)
Group (10 or more travelers)
Large Group (100+ travelers)
Other
Where would you like to travel to?
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Why did you choose this location?
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Is this vacation to celebrate any special occasion?
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What are the goals for your trip?
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When would you like to depart?
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When would you like to return?
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Are your dates flexible?
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Yes - open to best availability and/or value
No - my dates are set and unable to change
Please list ALL traveler's full names (incl. middle) and birthdays AS ON PASSPORTS, with relationship to you.
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What phase of the planning are you in?
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I'm just beginning the planning process
We have dates, but no other details confirmed
We have hotels and flights already booked
What is your budget for all travelers (including anything you would like us to quote - airfare, hotels, transfers, excursions)?
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Less than $5,000
$5,000 - $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 - $150,000
$150,000+
Will you be booking any portion of your trip with points?
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What travel components would you like us to assist you with? Please confirm they are included in the estimated budget provided. We recommend you take a quick look at flights before our intake call, to give yourself an idea of options and prices expected. Google Flights is a good resource.
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Flights
Accomodations
Transportation (car rental, trains, etc.)
Excursions & tours
Insurance
Event Tickets
Other
Airline Preferences
What is your departure city and preferred airport?
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?
What is your arrival city and preferred airport?
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?
What is a priority for making decisions about your airline travel?
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Type of travel (Ex. private vs. commercial)
Date & time of travel
Cost
What is your preferred time of travel?
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5:00 - 10:00 am local time
10:00 - 3:00 pm local time
3:00 - 8:00 pm local time
8:00 - 5:00 am local time (all-nighter)
Other
What is your preferred form of airline travel?
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Commercial Airline
Private Charter
Already booked or no airline required
Do you have a preferred airline?
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Are there any airlines you will not fly?
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What is the most important factor in sourcing your airfare?
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Arrival/departure city
Arrival/departure dates
Least number of stops
Price
What is your preferred class of airline travel?
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?
First Class
Business Class
What is your airline seat preference?
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Window
Aisle
Opposite Aisle
Do you require a special request meal in-flight?
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Low Sodium
Vegetarian
Low Calorie
Kosher
None
Do you require special assistance on your trip?
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Yes
No
If yes, please provide additional details.
Ground Transportation Preferences
What is your preference for transportation during your trip?
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?
Private car service
Rental car
Other
If you are planning to rent a car, please provide the car category preferred.
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Economy
Compact
Mid-sized
Full-sized
Van
SUV
Convertible
Other
Hotel Preferences
What best describes your desired accommodation style?
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Luxury & exclusive (5*)
Premium (4*)
Boutique (smaller, niche, lifestyle)
Centrally located & functional
Private villa or home
Other
What is your ideal cost per night for hotel?
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What is your preferred room category?
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King
2 Doubles / Queens
Junior Suite
Executive Suite
Villa
Condominium
Are there any special room requests we should be aware of for your group?
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What are your amenity "must haves?"
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Are there any additional requirements for your room?
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Extra blankets / pillows
Allergy-free / feather-free bedding
Luggage assistance (unpacking/packing)
None
Other
Describe your favorite hotel brand and why you love it.
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Activity Preferences
What best describes your travel priorities and activities you want to experience?
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Adventure (Ex. Skiing, Parasailing, Zip line)
Art, theatre & architecture (Ex. live music)
Celebration & fun
Dramatic views & landscape
Family friendly (Ex. children, multi-gen, dog friendly)
Food & wine (Ex. Wine tasting, cooking or mixology classes)
Local culture, history & education
Nightlife (Ex. Casinos, Clubs)
Off the beaten path
Philanthropy / Volunteerism
Rest & relaxation (Ex. Sun, sand, pool)
Romantic
Spa & wellness (Ex. yoga & meditation)
Sporting events
Beach & water sports (Ex. Sporting events, scuba diving, snorkeling, sailing, boating, fishing)
Land sports (Ex. Biking, golf, hiking)
Other
Please list anything you "must see or do" that was not included above.
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What is one of your favorite memories from a past vacation and why.
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What does an ideal day on vacation look like to you.
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Travel Insurance
By making an insurance selection below, I understand that declining insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance, there may be no way to recoup any losses, costs or expenses incurred.
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I accept insurance and would like to receive a quote.
I decline insurance and understand this could result in the loss of all travel costs associated with this booking.
Luxury Experiences by Melissa custom curates all itineraries based on client needs and wishes. Due to the amount of time allocated to the customization of each proposal, there is a planning fee due prior to a proposal being compiled, created and/or presented. By moving forward and scheduling a call, you agree and understand that you will be quoted a planning fee based on the intricacies of your specific trip. All planning fees are non-refundable, regardless of trip outcome.
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Yes
No
Luxury Experiences by Melissa acts solely as a booking agent for disclosed principal Suppliers and is not the source or provider of any travel service. Each Supplier is an independent entity with its own management and is not subject to the control of Luxury Experiences by Melissa. For this reason, you will see all pricing as bundled rates and not broken out by component. Our partners do not provide component pricing to protect their contracts, therefore Luxury Experiences by Melissa is not able to provide /disclose component pricing. Do you agree and understand that you will receive all pricing as a "package rate.” service.
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Yes
No
How did you hear about us?
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Friend
Instagram
Facebook
LinkedIn
Podcast
Web Search
Advertisement
Other
If you were referred to us, please provide their name so we can thank them.
*
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