CONSULTATION FORM - Luxe Seekers

Traveler Request Form

Salutation

Dr. Mr. Ms. Mrs.

First Name

Last Name

Email

Country

Address Line 1

Address Line 2

City

State

Zip Code

Travel Dates

Destination (if no specific destination, please specify ideal vacation, such as beach, spa, all-inclusive, 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 Standard Connecting

Hotel Class

4 Star 5 Star

Private Transfers and/or Touring

YES NO

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

Per Day Private Touring/Transfers Budget

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

Loyalty Reward Numbers

Allergies / Dietary Restrictions

Any Other Details