Posh Places Travel

CLIENT INTAKE FORM

"*" indicates required fields

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Where would you like to go?*

Tell us about your travel dates (we need specific dates) and how long you would like your to trip to be.

Start Date

End Date

Trip Length

Are Dates Flexible?

Tell us about your group! Who's coming? Ages? Any special celebrations or occasions? Any specific requests (allergies, special access needs, etc.)?

Full Name

Age

Special Occasion?

Special Requests?

What is your vacation budget?

Your ideal trip includes:

Rest & relaxation!

Keep me on the move. I'm ready to discover a new place!

Family activities

A good mixture of R&R and discovering a new place!

Other

What is your accommodation style and needs?

Tell me about your vacation interests or any specific experiences you would like included.