Trip Inquiry Form

Welcome and thank you for reaching out to CB3 Travel! Please share a little about yourself and your upcoming trip and we will be in touch within one business day to schedule a complimentary consultation.

Traveler 1

First Name

Preferred Name(Optional)

Middle Name(Optional)

Last Name

Phone

Birthday

Loyalty Program 1

Loyalty Program

Level(Optional)

ID Number(Optional)

Trip Info

Trip Dates

I'm flexible with dates

I have exact dates

Start Date

End Date

Where would you like to go?

What are the dates for your trip? Please share any flexibility you may have with your dates.

Please list the full legal name and DOB for all travelers.(Optional)

Is this trip for a special occasion or celebration?(Optional)

What is a comfortable price point for all travelers on this trip (excluding airfare)?

Under $5,000

$5,000 - 7,5000

$7,500 - 10,000

$10,000 - $15,000

$15,000 - $20,000

$20,000 - $30,000

$30,000 - $50,000

$50,000 +

Is your budget flexible?(Optional)

No, it is fixed

Possibly, I want to see what things cost

What would you like assistance with? Check all that apply. A(Optional)

Airfare

Accommodations

Transportation

Excursions and tours

Cruise

Trip insurance

What describes your desired accommodation style? Please check all that apply.(Optional)

Boutique and intimate

Contemporary and modern

Elegant and classic

Chic and playful

Sustainable and eco-friendly

Comfortable and modest (3-4 star)

Upscale (4-5 star)

Luxury (5 star)

Private home or villa

Are there any special needs, dietary restrictions, mobility concerns, or anything else I should know about anyone traveling on the trip?(Optional)

What else would you like me to know about your trip?(Optional)

Is there someone I can thank for referring you to me?(Optional)

Would you like to be subscribed to our newsletter?(Optional)

Yes, please

Not at this time

I confirm that it is my responsibility to ensure my passport is valid for at least six months from the date of travel and for obtaining any necessary visas.

Yes, I understand and agree.

Please be aware that there may be a planning fee associated with the creation of your personalized itinerary. During our complimentary consultation call, we'll discuss your travel goals and provide you with a detailed understanding of any associated fees based upon the unique aspects and complexities of your trip request.

Yes, I understand and agree

E-Signature

I agree to this e-signature

Content

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Your Advisor

Beth Gallini

CB3 Travel

beth@cb3travel.com

609-306-9629