Travel Package Inquiry Form

Full Legal Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Preferred Method of Contact

Phone CallTextEmailNo Preference

Departure City / Airport (if open to flying out any DMV airport state WAS)*

ex. ATL, CTL, IAD

Preferred Departure Date

Date

Preferred Return Date

Date

Preferred Destination(s)*

You may add up to 3

Airline/Flight Preferences

ex. Delta, first class, nonstop

Are the dates flexible?*

YesNo

Travel Experience*

First time travelingFirst time traveling internationallyTraveled internationally 2-3 timesTraveled to 4+ countries internationally

How many rooms will you need?

Persons per room

1234

What best describes your hotel preference?*

Any hotel preferences? Please list if so.

ex. All Inclusive, Hilton Dubai, Adults Only, Beach Front

Any room type preferences?

ex. King Bed Swim up Suite

Would you like any add-ons?

What activities do you enjoy while traveling?*

Is there anything you absolutely must do or see?

Number of Travelers*

Type of Travelers*

AdultsChildrenInfants

What kind of vibe are you looking for?*

What is the total budget per person?*

Special Occasion?

Special Requests, Comments, or Concerns

If you would like to talk live regarding your Consultation/Proposal, please choose a time below.

My Products

Groups ≤ 4

Select this option for travel groups of 4 persons or less

$30.00

Groups >4

Select this option for groups of 5-10 travelers

$50.00

Groups >10

Select this option for groups of 10-20 travelers. Add the 5th option as well if you have travelers flying in from multiple locations

$70.00

Groups >20

Select this option for groups sizes over 20. Add the 6th option as well if you have travelers flying in from multiple locations

$100.00

Groups > 10 with Multiple Departure Origins

You must add this option if you have people flying in from multiple departure origins for groups over 10 travelers

$10.00

Groups >20 with Multiple Departure Origins

You must add this option if you have people flying in from multiple departure origins for groups over 20 travelers

$20.00

Rush Fee

This option is in addition to your consultation fee for those who need their proposal in 1-3 days.

$10.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

*

I hereby allow LUXEAVENTURA to charge me the amount reflected above for their travel agency services. I understand that if I no longer decide to move forward or do not adhere to the policies listed on the website, that my payment is non-refundable.

Signature*

Travel Package Inquiry Form

Traveler Information

Flight Details

Hotel Details

Add on's and Activities/Excursion Details

Travel Group Size

Consultation