Trip Intake Form Name * First Name Last Name Where would you like to go? When would you like to depart? MM DD YYYY When would you like to return? MM DD YYYY Are your dates flexible? Yes No Who is traveling? Please include names and ages (if children are traveling) What is your target nightly budget for a single hotel room? * $350-500 $500-750 $750-1000 $1000-1500 $1,500+ Is there a reason for this trip? What kind of vibe are you going for? Check all that apply Romantic Family friendly Party Food and wine Secluded Nature Anything you absolutely must do or see? What else do I need to know? Thank you!