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Cruise/Vacation Lead Intake Form

✨ A Quick Note Before We Begin...

I'm so excited to help you plan your next magical vacation! As a travel advisor, my planning services are completely free to you — I’m compensated directly by trusted travel providers like Disney, Universal, Royal Caribbean, Carnival, Norwegian, and others when you book through me. This means you get expert guidance, personalized options, and insider tips at no extra cost.

That said, I do put a lot of time and care into creating custom vacation quotes tailored specifically to your needs and preferences. Your answers here help me make the best possible recommendations, and I truly appreciate you taking a few moments to fill out this form completely and thoughtfully.

Let’s make your dream vacation a reality — and have fun doing it!

Full Name

Email Address

Phone Number

Preferred Method of Contact

Preferred Method of Contact
A
B
C

Total Number of Travelers (Include how many adults, teens, children, and infants)

Traveler Names & Birthdates (Example: John Doe – 01/12/1980, Jane Doe – 06/20/2015) - This is simply to help for quoting and booking process.

Any mobility, accessibility, or dietary needs?

If a Cruise - Preferred Departure Port(s):

Preferred Ship or Specific Itinerary (if any) or Where you would like to travel:

Preferred Travel Dates or Timeframe:

Vacation/Cruise Length Preference

Vacation/Cruise Length Preference
A
B
C
D
E

If Cruise Stateroom Type Preference

If Cruise Stateroom Type Preference
A
B
C
D
E

If Cruise - Number of Cabins Needed

If Cruise - Would you prefer adjoining or nearby cabins (if available)?

If Cruise - Would you prefer adjoining or nearby cabins (if available)?
A
B
C

Approximate Total Budget (excluding flights)

Would you like travel insurance included in your quote?

Would you like travel insurance included in your quote?
A
B
C

Have you cruised before? If so, with whom?

Anything else we should know to help tailor your quote?