(440) 273-3186
(877) 838-7716
kim@eliteescapestravel.com
Thank you for your interest in Elite Escapes Travel! Please complete the following form to the best of your ability.
The more information you are able to provide for us, the better we will be able to tailor your vacation to your interests, and save time during the planning process.
Full Name of Primary Contact:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachussettes
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Email Address:
Phone Number:
Preferred Method of Contact:
E-Mail
Phone
Mail
How many will be traveling?
Adults:
0
1
2
3
4
5
6
7
8
9
10+
Children:
0
1
2
3
4
5
6
7
8
9
10+
Where would you like to go? (If you found a particular package you
are interested in on the Vacation Search page, please enter the Trip ID
here or submit the request through Vacation Search):
When will you be traveling?
From:
January
February
March
April
May
June
July
August
September
October
November
December
01
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05
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25
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28
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31
2008
2009
2010
To:
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
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14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
Number of Nights:
My vacation will include (please select all that apply):
Flight
Cruise
Hotel
Vacation Package
Car Rental
Sightseeing
Transfers
Travel Insurance
All Inclusive Resort
Other:
Approximate Total Budget:
Please list any activities you would like to do on your trip (beach, golf, spa, scuba diving, etc.):
Why are you traveling (Birthday, Anniversary, Honeymoon, Business,
Just need a vacation, etc.)?
What did you like the most about your last vacation?
What did you like the least?
What do you like to do in your spare time?
How would you describe your ideal vacation?
If there's anything else you would like us to know, please enter it below: