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Travel Request Form
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Thank you for allowing Emily Voorn Travel to research your upcoming trip.
We will work to get you the best valued package available that meets your needs. Please provide as many details as possible to aid in the booking of your travel, and you will be contacted within 24-48 hours to discuss your trip in detail. Please contact Emily Voorn with any questions by emailing emily@emilyvoorntravel.com or calling (770) 539-5344.
TRAVELER INFORMATION
Main Traveler Name (as it appears on your Passport or Government Issued ID)
*
First
Middle
Last
Date of Birth
*
Gender
*
Male
Female
Second Traveler Name
*
First
Middle
Last
Date of Birth
*
Gender
*
Male
Female
Specify how many additional travelers (if children specify their age)
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
*
Please check the type of travel services you need (select all that apply):
*
Airline Tickets
Cruise
Hotel/Accommodations
Rental Car
Tours or Activities
Transportation To & From Hotel
Travel Insurance
Type of Trip / Special Occasion (select all that apply):
*
Anniversary
Birthday
Business
Family Vacation
Getaway
Honeymoon
Do any travelers have accessibility or special needs requirements?
*
What is your max budget for this trip?
*
What type of payment arrangement would you like?
*
BOOK NOW, PAY NOW
DEPOSIT NOW, PAY INSTALLMENT
TRAVEL DETAILS
Departure City
*
Destination
*
Do you need multiple destinations?
*
Yes
No
Departure Date
*
Return Date
*
Are Your Dates Flexible?
*
Yes
No
Next
FLIGHT DETAILS
Do you require flights?
*
Yes
No
Departure City (copy)
*
Destination (copy)
*
Preferred Departure Time
*
Preferred Return Time
*
Flight Options
*
Nonstop
1 Layover
2+ Layover
Red-Eye (Overnight)
Type of Class
*
Basic Economy
Economy Class
Premium Economy
Business Class
First Class
TYPE OF CLASS WARNING!!!
If you choose Basic Economy, please note that the Basic Economy fare may be lowest in price, but have multiple restrictions. The following restrictions are likely to apply to this type of airfare. • Non Changeable or Refundable • Carry On Restrictions & Baggage Fees • No Preassigned Seats & Last Boarding Group • Other restrictions may apply. Please check with the airline's policy for additional information. If you do not agree to the Basic Economy Class restrictions, please select the next highest class which is Economy Class and that is what will be included in your quote.
Preferred Airline
Frequent Flyer Info
Next
Do you require accommodations (Hotel/Resort/Vacation Rental)?
*
Yes
No
Number of Rooms
*
Room/Bedding Type
*
Double
King
Queen
Suite
Kitchenette
Vacation Rental
Preferred Hotel Brand
*
Special Requests
*
Hotel Rewards Info
*
Next
FINAL STEPS
Anything else you'd like us to know?
*
Have you already researched pricing for this trip?
*
Yes
No
Before submitting, please read: I acknowledge that the information I have provided is accurate to the best of my knowledge. I understand that my deposit, if trip is booked, is non-refunable and other cancellation penalties will apply depending on the cancel date. I understand that all monies must be paid by the final payment date, if my balance is left unpaid, my booking will be canceled and is non-refundable. *If travel insurance is purchased, it may cover any non-refundable fees depending on Coverage and Cancellation Policy, minus the cost of Travel Insurance. For this reason, purchasing travel insurance is highly recommended.
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