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:
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Passenger Contact Info:
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First Name
Middle Name
Last Name
Address:
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Street Address
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City
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Best Contact Number:
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Area Code
Phone Number
Birth date:
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Please select a month
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Year
Group Organization Name (optional):
E-mail:
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Vacation Budget for all travelers?:
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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:
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Is Anyone Traveling Over The Age Of 55?:
Yes
No
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:
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Year
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AM/PM Option
Return date & time:
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Are dates of travel flexible:
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Yes
No
ALTERNATE DATES:
Departure date & time:
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Day
Year
Date
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AM/PM Option
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Special Occasion (Birthday, Honeymoon, Destination Wedding, Music Festival, ...:
Departure country:
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Destination country:
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Please check the services that you need:
Airline Tickets
Rental Car (Please answer "rental" questions below)
Hotel Accomadations
AIR TRAVEL
Airline Preference (Frequent Flyer Programs):
Seat Preference: (choose all that apply)
First Class
Business Class
Economy
Window
Middle
Aisle
Extra 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:
Yes
No
Other
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 Room
Garden View
Ocean View/Front
Features - Choose all that apply:
All-Inclusive
Family Friendly
Near City Center
Activities On-Site
Adult Only
On the Beach
Near Port/Airport
Suite/Jr. Suite
Penthouse/Butler Suite
Other
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
Compact
Mid Size
Full Size
Luxury
Other
PACKAGED TOUR
Country or Countries of Interest::
Tours:
Escorted
Independent
Family
Other
Activities of Interest: (Spa, Golf, Excursions, Activities, Event Tickets, Shows, etc):
OTHER INFORMATION
Passport number:
Passport expiration date:
-
Month
-
Day
Year
Date Picker Icon
Do you need Passport assistance?
Yes
No
Does Anyone Traveling Have A Military Background?:
Yes
No
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:
*
Yes
No (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?
*
Yes
No
Other
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