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Client Intake Form
Door to Destination Travel by Kelsey
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First and Last Name
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Home Address
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Your answer
Would you prefer to be contacted via email, text, or phone call?
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Email
Text
Phone Call
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What are you interested in?
*
Cruise
River Cruise
Hotel/Resort Stay
Flights
Car Rental
Road Trip
Vacation Package
Event Tickets (Concert, Sporting Event)
One Day Pool Rental
All Inclusive Resort
Other:
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Number of People (Adults and ages of each child)
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Your answer
Travel Budget
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$0-$2,000
$2,000-$4,000
$4,000-$6,000
$6,000-$8,000
$8,000-$10,000
$10,000 +
Other:
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Dates of Travel
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Your answer
Are your travel dates flexible?
Yes
No
Maybe
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Destination of Interest
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Your answer
Travel Occasion
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Birthday
Honeymoon
Anniversary
Friend Trip
Couple's Getaway
Solo Trip
Just because/No special reason
Other:
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Please leave any previous similar hotel, cruise line, resort, car, etc. that you have enjoyed or disliked
Your answer
Please select any that interest you for your travels
Sightseeing/History
Culture/Arts
Spa/Wellness
Shopping
Active
Sporting Event
Nightlife
Beach
Pool
Theatrical Production
Local Cuisine/Dining Experiences
Concert
Photography Session
I want a surprise activity planned
Other:
Please include any additional notes that could be helpful to help me plan your travels
Your answer
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