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Land Trip Form
Let’s plan your Deliberately Different travel experience!
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First and Last name
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Phone
Date of Birth
Month
Month
Day
Year
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Email
Do you have a valid passport (Not Expired)?
Departure City / Airport
Destination(s)
Preferred travel dates
Month
Month
Day
Year
How many Travelers?
How many Children (Ages 1-17)?
If children are traveling, please list their ages (For example one male 8 years old).
Type of Accommodation?
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Airline preference (Choose all that apply
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American Airlines
Delta Airlines
Frontier
Southwest
Spirit
Other
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What type of payment arrangement are you interested in?
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Would you like Travel Protection added to your package (We highly recommend it to protect your investment)? If no, a waiver must be signed before booking your vacation.
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Any special accommodations?
Is there anything else you want us to know before researching your vacation (e.g., Adding excursions, shows, etc.)?
Which DD Travel agent are you working with?
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How did you hear about Deliberately Different Travel?
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