Client Information Form — 4Moore Travel

Date Completed

Client Name *

Email *

Phone *

Address

Vacation Budget

Travel Insurance

Yes No (signed waiver required)

Number of Adults

Number of Children & Ages

Dates of Travel

Flexible Dates?

Yes No

Destinations of Interest

Departure City

Airline Preference / Frequent Flyer Programs

Cruise Preferences / Frequent Cruiser Programs

Cruise Itinerary

Cruise Length

Pre & Post Cruise Nights?

Yes No

Cabin Class

Beverage Plan?

Yes No

Beverage Plan Type

# of Nights

Hotel Preferences / Frequent Guest Programs

# Rooms / Arrangement

Car Preferences / Frequent Renter Programs

Add-Ons

Country / Countries of Interest

Tour Type

Escorted Independent

Activity Level

What hotels have you stayed in and enjoyed?

What cruise lines and resorts have you enjoyed before, if any?

Notes / Additional Information

4Moore Travel — Client Information Form