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 *
What is the best contact phone number? *
Name as it appears on Passport or Valid ID *
First Middle Last
Birthdate *
Month/Date/Year
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.
What is the destination of your travel plans? *
If it is multiple destinations, please explain.
What are your specific dates of travel? *
What is your preferred length of stay? *
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.
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.
How many travelers will be traveling with you? *
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)
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.
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.)
What is your per person budget? *
Are there any handicap accessibility needs? Please explain.
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