Travel Information Request

Complete all sections below. This will aid us in giving you the best package for the best price.

Your information will be transmitted to us via a secure server for your privacy.

PLEASE NOTE: We are an online travel agency and make our income by SELLING travel arrangements. Submit your request ONLY if you are truly interested in buying these travel arrangements in the near future from InformedTravel.com. Package prices are subject to change until purchased. Therefore, any prices given would possibly not be valid if you plan to wait to purchase. If you do not think you would buy travel from our online travel agency in the near future, please do not submit this form.

We recommend you use our Travel Consultation Service if you would like to get some prices and do not intend to buy your travel in the near future. Due to the work involved with this there is a charge for this special consultation service.
Section One
Package # (Hotel or Destination)
Last Name 
First Name 
Address 
City 
State/Province  Postal/Zip Code
Country 
E-mail Address 
Required for contact
Day Time Phone # 
   Required
Fax # 
How did you learn about us? 

Section Two
Respond back to you via 
 Fax option only in U.S.A.
Expected Budget Per Person  Help us stay within your budget
               Depart Date Required
               Return DateRequired
Airfare Required From (City) 
Check if Airfare is not required 
Do you need a rental car?   Yes   No
Transfers to/from the airport?   Yes   No
Total Number of Travelers   Enter as Adults / Children ..2/2

I am interested in this package. Need Specifics on:
State any Preferences / Requirements/ Theme Park tickets/ Tours, etc.

Other Quotes you have received. Please list any other prices you have already received for this vacation so that we can attempt to beat it and get you a better deal.

Section Three
Any Flexibility or 
Second Choice of Dates 
Number of 
Rooms/Cabins 
Category of 
Rooms/Cabins 
Smoking Preference 
Please include quote for optional cancellation insurance
Decline cancellation insurance

Adult Traveler Names / Ages (needed for discount
( purposes, as on passports for international travel)

Enter country of citizenship, if other than USA

Child/Infant Traveler Names /Ages (needed for discount)
Names as on passports for international travel


Names and ages at time of travel & country of citizenship.

Add me to your newsletter for travel specials. Yes No