REQUEST FOR QUOTATION FORM

"For Resort and All-Inclusive Resort Vacations"

Thank you for visiting PAK-N-GO Cruises and Tours on line. In order for us to serve you better, we are requesting the following information. This information will help us to offer you a more accurate quotation.

An asterisk (*) indicates a required field.:

*1. Your Full Name as it appears on your passport:

*2. Home Phone Number: Business Phone Number:

*3. Home Street Address:
*City: *State: *Zip Code:

*4. Your Age (Additional discounts may apply.):

*5. Your Email Address (must be from your initial/main service provider account.) aliases originating from free email services may not be honored:

6. If this vacation involves two or more families, will you be responsible for making the purchasing decision?:
YesNo

7. If you answered no to number 6, please provide this person's name, address and phone number:

8. Full Name(s)as they appear on their passport and age(s) of people in your traveling party:

9. Per person aproximate amount budgeted for this vacation:

10. Number of rooms required:

11. If you already know the resort or vacation package and date of departure, please enter it here:

12. Would you like an All-Inclusive package?:

13. Select your intended "Resort Vacation" destination from the drop down list. If your intended itinerary is not listed, select "Other" and type your destination in the "Other" box:
Other:

*14. Will you be needing airline transportation?:
YesNo
If you answered "yes" what is your preferred city(s)of departure:

15. Would you prefer non-stop service via a charter flight?:
YesNo

16. Desired length of your vacation?(If your intended length is not listed, select "Other" and type your length of stay in the "Other" box:
Other:

17. What is your planned vacation departure date?:

18. If you have a preferred resort brand(s) please list it here?:

19. Which room category are you most interested in?: Type in other room type or features you require (i.e. must have a veranda, mini-bar, VCR, internet access, etc.):

20. When is the best time to contact you and the preferred method of contact? (i.e. Phone, email, fax, etc.):

21. Here you can list any other additional information that PAK-N-GO Cruises and Tours should be made aware of such as, health issues, special request, etc.:

22. Would you be interested in receiving future cruise or vacation specials via email?:
YesNo