Travel Bucket ListLet’s Work Together Name * First Name Last Name Email * Phone * (###) ### #### 1 - Destinations in your Bucket List Africa Antartica Australia France Greece Hawaii Japan Ireland Italy Mexico New Zealand Peru South Korea Spain Switzerland Thailand River Cruise Ocean Cruise Expeditions Croatia 2 - Any other destination that is important to you? * 3 - Dates of Travel * If you do not have yet the exact dates, please list approximate time of year/month and number of days 4 - Number of People Traveling * Please indicate how many adults, seniors and children (with children's age). 5 - What is motivating you do go/visit this destination at this time? * 6 - Is there a special occasion for this trip? * 7 - What is important to you when you travel? * Favorite/least favorite past travel experience - Why? 8 - Please tell what kind of experience to you want this trip to be? * 9 - Do you need us to take care of the airfare? * Yes, in Economy Class Yes, in Business/First Class No, I will take care of my own Airfare Have not decided 10 - How much are you thinking of spending for this trip? * A price range is fine 11 - What is your Preferred Method of Communication? * Please keep in mind that there might be instances that we will contact you by the most convenient method, depending on the situation By Phone Bu Email No Preference 12 - How did you hear about me? * Past Client Referral Company Website Social Media Travel Leaders Network Supplier Website Other Message Thank you for your submission.We look forward to working with you and you will hear back from us within 24-48 hours!
