Client Travel Intake

This detailed form is for clients who are ready for Breanna to begin serious trip planning and quoting.

Privacy note: Do not enter full passport numbers or upload passport copies here. If Breanna needs additional document details, she will request them through an appropriate secure method.

1. Primary Contact Information

Full legal name Phone number Email address Date of birth

Street address

CityStateZIP code

2. Everyone Going on the Trip

Enter each traveler's full legal name exactly as shown on their government-issued ID/passport.

3. Where, When & Budget

Where do you want to go?

Departure date Return date

Dates flexible? Yes No

Total trip budget Per-person budget, if preferred

4. What Do You Need Blevins Travel to Book?

5. Passport Information — Cruises & International Flights

Passport and entry requirements vary by destination, itinerary, citizenship, airline and cruise line. Do not enter full passport numbers.

Overall passport status Citizenship(s), if relevant

6. Flight Details

Preferred departure airport Alternate airport(s) Preferred airline, if any Frequent flyer program, if any

Flight type Cabin

Flight preferences

Seat preference Preferred departure time

Flight notes, baggage needs, mobility assistance, or special requests

7. Hotel / Resort Details

Number of rooms Number of beds needed Hotel / resort preference

Property level Room type, location, amenities, or special requests

8. Car Rental / Transportation

Transportation needed

Preferred vehicle size/type Driver name

9. Cruise / Tour / Activities

Cruise line or ship preference Departure port, if known

Tours, excursions, attractions or activities

10. Trip Protection

Trip protection preference

11. Previous Travel Agent Experience

Have you used a travel agent before? If yes, what did you like or dislike about the experience?

12. Final Details

Anything else we should know to help plan your trip?

Best way to contact you Best time to contact you