CJz Travels Booking Form

BOOKING REQUEST FORM

Thank you for allowing CJz Glorious Travels, LLC to research a fare for your upcoming trip. I will work to get you the best price available. Please fill out the Travel Inquiry Form in its entirety. In order for us to do research for you, we need a little bit of information. The more information you give us, the less time it will take and the better we will be able to design a trip that you will love!! Prices and availability change quickly, and no trip is guaranteed until a deposit has been made. Sometimes we may be able to put vacations on hold, but, but in order to do so, we need your full name as it is written on your passport and you date of birth. You will be contacted within 72 hours with a quote and to discuss your Itinerary in detail. **Please note: any trip that is 45-60 days away will require payment in FULL; deposits will not be an option.**
Title:*
Passenger Contact Info:*

First NameMiddle NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best Contact Number:*

Area CodePhone Number
Birth date:*

MonthDayYear
Group Organization Name (optional):
E-mail:*
Vacation Budget for all travelers?:*

Less than $1,500$1,500-$2,000$2,000-$4,500$4,500-$6,500$6,500-$8,500$8,500-$10,000$10,000+Other
Total Number Of Adults:*
Is Anyone Traveling Over The Age Of 55?:

YesNo
Total Number Of Children:
Ages of Children at the time of Travel:
Does anyone traveling have special needs?: (ex: food allergies; needs handicap access etc:)*
Please explain:
DESTINATION INFORMATION
Departure date & time:*

MonthDayYearHourMinutesAM/PM Option
Return date & time:*

MonthDayYearHourMinutesAM/PM Option
Are dates of travel flexible:*

YesNo
ALTERNATE DATES:
Departure date & time:

MonthDayYear
DateHourMinutesAM/PM Option
Return date & time:

MonthDayYear
DateHourMinutesAM/PM Option
Special Occasion (Birthday, Honeymoon, Destination Wedding, Music Festival, ...:
Departure country:
Destination country:
Please check the services that you need:

Airline TicketsRental Car (Please answer "rental" questions below)Hotel Accomadations
AIR TRAVEL
Airline Preference (Frequent Flyer Programs):
Seat Preference: (choose all that apply)

First ClassBusiness ClassEconomyWindowMiddleAisleExtra Leg Room
CRUISE VACATION
Cruise Line Preference (Frequent Guest Programs):
Holland America; MSC; Carnaval; Tauck River; Princess etc:
Cruise Length:
1-3 nights, 4--5 nights, 7 nights, etc.
Cruise Itinerary: (Destinations)
Cabin class:
interior, stateroom, oceanview, balcony, suite, etc
Beverage Plan:

YesNoOther
Which Cruise Line / Ships have you enjoyed (If any)?:
HOTEL AND RESORT VACATION
Number of nights:
Hotel Preferences (Frequent Guest Programs):
Marriott, Ritz Carlton, Holiday Inn, RIU, Sandals, etc
Room Category - Choose one:

Standard RoomGarden ViewOcean View/Front
Features - Choose all that apply:

All-InclusiveFamily FriendlyNear City CenterActivities On-SiteAdult OnlyOn the BeachNear Port/AirportSuite/Jr. SuitePenthouse/Butler SuiteOther
Number of rooms:
Which Hotels/Resorts have you stayed in and enjoyed (if any)?:
CAR RENTAL
Car Rental Preferences (Frequent Renter Programs):
Avis, Hertz, Enterprise, Budget. etc.
Car Category

CompactMid SizeFull SizeLuxuryOther
PACKAGED TOUR
Country or Countries of Interest::
Tours:

EscortedIndependentFamilyOther
Activities of Interest: (Spa, Golf, Excursions, Activities, Event Tickets, Shows, etc):
OTHER INFORMATION
Passport number:
Passport expiration date:

MonthDayYear
Do you need Passport assistance?

YesNo
Does Anyone Traveling Have A Military Background?:

YesNo
Does anyone traveling qualify for Special Rates AAA; Military; Government; etc?:
*Add names here / Special Instructions
Is there anything you absolutely must see or do? What else would you like me to know to make your dream getaway a reality?!
TRAVEL INSURANCE:*

YesNo (you will have to sign an "opt out" travel insurance waiver)
Would you be interested in learning how you can save and make money on your travel?*

YesNoOther
Enter the message as it's shown*
Should be Empty:

BOOKING REQUEST FORM

DESTINATION INFORMATION

AIR TRAVEL

CRUISE VACATION

HOTEL AND RESORT VACATION

CAR RENTAL

PACKAGED TOUR

OTHER INFORMATION