Alkar Travel

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Alkar Travel Questionnaire Form

CLIENT INFORMATION REQUEST - STRICTLY CONFIDENTIAL BETWEEN PARTIES.
This request is for information - NOT a commitment to make a booking.
* Indicates a required field.

General Information

* First Name:

* Last Name:

* Address:

* City:

* State/Province:

* Zip/Postal Code:

* Email:

Daytime Phone:

Mobile Phone:

Fax:

* Number of Travelers:

* Approximate Budget per Traveler:

Please note that groups of 10 or more may qualify for reduced prices provided they all travel together.
Names as they appear on your passports:

10.

Destination Details

Destination:

Departure Date:

Departure and Return City:

Length of Stay:

Flexible on Dates?:

Yes: No:

Additional Destinations?:

Preferences

Independent

Escorted Group Travel

Concierge Level - First Class

Cruise and Package Holiday

What activities do you enjoy?
Active:		Art/Cultural:
Nature:		Seaside or Beach location:
Other:

Comments / Wish List

Please use the following textbox to give us as much information as possible on what you are looking for. The more information we have the better selection we can provide.

Information | Privacy Policy

Call
804-346-8714

11535 Nuckols Road,
Suite B
Glen Allen, Virginia 23059
Fax: 804-346-8717
alexandra@alkartravel.com