Your name:
Email address:
Confirm email address:
Cell:
Preferred method of contact:
Email
Call
Text
Do you know where you would like to travel? If yes, write in the box; otherwise, leave blank:
What kind of accommodations are you interested in? (Cruise, all-inclusive resort, waterfront properties, outdoor adventure, destination tour, etc.)
When would you like to travel? (Specific date, month/year, season)
How long would you like to travel, including air/transportation?
1-3 days
4-6 days
7-9 days
10-13 days
14+ days
What is your budget PER PERSON?
Less than $1000
$1001 - $2499
$2500 - $4999
$5000 - $7499
$7500 - $9999
More than $10,000
Include airfare
How many people will be traveling?
How many rooms?
Any must-have accommodations? (Beach, Pool, all-inclusive, tropical, adults only, historic value, great hiking, etc.)
Anything to avoid? (Extreme hot/cold, etc)
Do you have a passport?
Yes
No
Will the passport be valid for 6 months after your trip?
Yes
No
Do you have a state issued U.S. birth certificate?
Yes
No
Who can we thank for referring you? (Google, social media, name of person, etc)
Traveler understands that travel insurance is not required but recommended to protect against complete loss of payments for cancellations, as well as medical assistance or repatriation. Traveler understands that Travel Agent can provide information but cannot provide legal advice or act as an insurance broker.
Yes, I Understand
Traveler understands that any information received from submitting this form is solely for the use of booking future travel with KHALL Group, LLC., has been customized for personal use, and is not to be distributed to third parties.
Yes, I Understand
