JMC Getaways
JMCGetaways.com       info@JMCGetaways.com      631-987-1023
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Names and DOB of travelers exactly as they appear on passport/ID    
Cell Phone
Type of Vacation
Agent Requested:  *
Address
Departure Airport
Destination
Departure Date
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Number of Nights
Interests: Nightlife, Luxury Travel, Beaches, Pools, Casino, Excursions, National Parks, Hiking, Athletics, Adventures, Photography, Cooking, Painting, History, Art, Culture, Music, Sightseeing, ECO Tour, River Tour, ETC 
What are you looking to gain from this experience?  
Dietary/mobility restrictions? please explain
Police/Fire Fighter/ Military - ? 
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Rental Car
Expected Level of Service
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Do you have a room category preference? 
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Approximate Per Person Budget
Would you like Travel Insurance included in your quote? This is optional but strongly recommended.  
Additional Comments - Airline, Hotel Preferences, etc
More information for us, the better! 
How did you hear about us? Who can we thank for your business? 
Can we provide travel assistance to anyone in your network? 
Kindly share name, contact info? 
Thank you! We'll be in contact soon!
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