Online Travel Agent Quote Request Form

IATA/ARC/CLIA#*

Company name*

Name*

Address

City, State & Zip

Phone* & Fax

Lead Client Name

Would they need help with air?

Yes No

If yes,

Departure Date Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2012 2013 2014
From To

Return Date
Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2012 2013 2014
From To

Are they interested in an Escorted tour? *

Yes No

If yes, Tour Name Land of the Fjords LF5 The Fjords of Norway FN6 Four Capitals Tour FC8 Four Capitals Tour + Fjords of Norway FC14 Scenic Norway SN7 Scenic Norway SN9 Scenic Norway SN11 Scenic Norway SN13 Northern Highlights NH11 Northern Highlights & St. Pete Northern Highlights & St. P/Mow Scandinavian Panorama + Baltic C. SP10 Scandinavian Panorama + Baltic C. SP12 Scandinavian Panorama + Baltic C. SP14 Grand Tour of Scandinavia GT14 Grand Tour of Scandinavia + St. Peters GT17 Grand Tour of Scandinavia + St. Peters & Moscow GT20 Pearls of the Baltic PB7 Pearls of the Baltic + Moscow PB10 St. Petersburg by Train Volcanos & Glaciers (Iceland) Iceland Complete Iceland Grand Countryside Scenes of the North Three Capitals & The Fjords Fjords & Glaciers Copenhagen & Bergen Colors of the Baltic Baltic Vision Magical Norway Imperial Russia Fairy Tale Baltics Fairy Tale Baltics & Moscow Fab Scan & Czar Route Fab Scan & St Pete Fab Scan & Helsinki Fab Scan 9 nts Fab Fjords & Stockholm Fab Fjords 5 nts

Or Independent tour?

Yes No

If yes, please fill in the Independent Itinerary below

Departure Date From USA*

Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2012 2013 2014 Flexible? + -

# Passengers

Adult(s) 0 1 2 3 4 5 6 7 8 9 10 11 12 Child(ren) 0 1 2 3 4 5 6 7 8 9 10 11 12 Senior(s) 0 1 2 3 4 5 6 7 8 9 10 11 12

If Senior(s)/child(ren), please provide age at time of travel

Total Night(s)

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Hotel Standard Standard First Class Deluxe With view No preference Yes No

Room set up

Single 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Double 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Twin 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 X-bed 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Child 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Independent Itinerary

Please advise date, tour name/location, city, number of nights and if any preferred hotels.

1st Part

2nd Part

3rd Part

4th Part

5th Part

6th Part

7th Part

8th Part

9th Part

10th Part

Extra

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