ECA Travel Planning Form
Thank you for choosing ECA Nonprofit for your travel needs. When you choose ECA, you are also choosing to give back to the community. Our travel commission goes directly back to the nonprofit to help fund our programs!

Please complete this form to help us to better serve you!
Email address *
What is the best contact phone number? *
Your answer
Name as it appears on Passport or Valid ID *
First Middle Last
Your answer
Birthdate *
Month/Date/Year
Your answer
Will you be the MAIN contact for the travel plans? *
If you are not the MAIN contact, please provide legal name, phone number, and email of Main Contact.
Your answer
What is the destination of your travel plans? *
If it is multiple destinations, please explain.
Your answer
What are your specific dates of travel? *
Your answer
What is your preferred length of stay? *
Your answer
Are you flexible with dates? If so please provide me with a specific timeline. *
Example: Month of January, Weekends only in April, Anytime March -June.
Your answer
What is your preferred date that ECA travel agent should have the trip package ready for your review? *
IMPORTANT: ECA Travel Agents require at least 7 business days to effectively meet client needs.
Your answer
How many travelers will be traveling with you? *
Your answer
What are the Legal Names and ages of each traveler? *
This is important to receive children or senior discounts (Example: Shawnrell Blackwell, 41) If you are not aware of the names or ages, please respond by indicating the number of adults 18-20, adults 21 +, children ages 0-5, children ages 6-11, and children ages 12+ (EXAMPLE: 14 adults 21+, 9 adults 18-20, 7 children 0-5)
Your answer
Are any of the travelers in the military? *
Military discounts may apply
What is your goal for this vacation? *
Be specific about the purpose of the vacation. Share how you want your experience to be.
Your answer
How do you want this vacation to be different from others you have been on? *
Be specific (Examples: Less excursions, better food options, customer service, too far from the city, no public transportation, etc.)
Your answer
What is your per person budget? *
Your answer
Are there any handicap accessibility needs? Please explain.
Your answer
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