First name * Please enter your full name as it appears on your passport Middle name * Last name * Email * Date of birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date you'd like to depart * MM DD YYYY How many nights would you like to travel? * Are your dates flexible? * Yes No How many travelers will be in your party? * Names and birthdates of anyone traveling with you * Please list full names as they appear on passports Where would you like to travel? * Tell us a bit about what kind of trip you have in mind. Any special circumstances or preferences we should be aware of? Any dislikes? * Dietary restrictions, allergies, etc. Is this trip for a special occasion? * Ex: birthday, anniversary, retirement, etc. What kind of vibe are you looking for? * Rest and relaxation Romantic Family friendly Party Off the beaten path Local culture Food and wine Other Anything you are hoping to do or see while on this vacation? * What are some of your must haves or I'd rather not haves for your vacation? * Ideal budget for this trip * Bed preference * King 2 doubles/queens If you would like Left Side Travel to book your flights, please list your preferred airline (if any) and your frequent flyer program number. Would you like to be included in the Left Side Travel VIP email list to receive travel tips and opportunities? * Yes No thank you Consent * I consent to having Left Side Travel collect my details via this form Thank you! Travel QuestionnairePlease complete all fields below. Thank you!
