Preferred Salutation

Dr.

Mr.

Ms.

Mrs.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Travel Dates

Destination (if no specific destination, please specify ideal vacation, such as beach, spa, city, and if you prefer domestic or international)

Number of Adults

Number of Children (please include age at time of travel)

Preferred Room Type

Suite

Connecting Rooms

Standard Room

Per Night Hotel Budget (though this is sometimes difficult to answer, it ensures that the choices are matched with your travel expectations and style)

Private Transfers and/or Touring

Yes

Favorite Hotels (some of your favorite hotels from past vacations)

Date of Birth

YYYY

Passport Number

Passport Expiration Date

Loyalty Reward Numbers

Known Traveler Number

Airplane Seat Preference (aisle or window)

Allergies or Dietary Restrictions

Favorite Beverage

Anything Else