T O U R R E Q U E S T F O R M
Indochina Travel is committed to helping you
in planning and organizing the perfect trip in Southeast Asia. To receive a recommended, detailed tour itinerary, based on our knowledge and recommendations, along with your specific preferences, please
complete in as much detail as possible the form below (note that there may be a $250 deposit for comprehensive itinerary development which will be credited to your booking).
Note: We do not typically arrange a la carte or piecemeal tours. Aside from short tour and other extensions, or city stopovers, such as Hong Kong or Angkor, our 1 to 3-week custom private tours typically begin at US$2,500 per person, inclusive of almost everything including emergency medical and air evacuation insurance.
We respect your privacy — any
details that you have provided on this form will be used strictly to provide you with a tour proposal and not repurposed or shared. Please see our privacy policyfor more information.
|
CONTACT DETAILS
|
| Important:
Please enter complete names as they appear passport |
|
Title:
|
|
First
Name: |
Last
Name: |
Address:
|
City:
|
Province/State
|
Postal
Code: |
Country:
|
Email
Address: |
Telephone
Number: * |
Fax
Number: |
| *
Telephone number is required. |
 |
| Please
Note: Ages on date
of travel |
 |
| No.
Of Adults: |
No.of
Youths (11-18): |
|
|
| No.
of Children: (2-10) |
No.
of Infants: |
|
|
 |
| What
is the purpose of your trip? |
|
|
International
Flight Information:
|
| Please
quote airline
|
|
| From: |
To: |
| |
|
| *Departure: |
Month and Year:
|
Date:
|
 |
|
| *Return: |
Month
and Year:
|
Date:
|
 |
|
Flexibility: |
| |
Type
of Flight: |
Class
of Flight: |
| |
|
|
|
| |
Accommodation:
|
|
Type of accommodation: |
Type
of room: |
|
|
|
|
|
| |
Destinations:
|
Which
of the following destinations are you interested
in? |
|
| |
Escorted time (accompanied by guide, escort, driver)*:
(We prefer escort at all or most of the time except meals by request)
*Escort and Tour Manager on-call 24 x 7
|
Other
Details:
|
| Please
provide any further details you feel relevant to
help us propose the right tour for you. |
|
| |
Travel
Budget:
|
| (Required) Providing
an estimated budget helps us propose a
tour that most closely matches what you are looking for, such as accommodations within your price range. Our private tours with full escort, all transportation, sightseeing on private vasis, and accommodation typically start at $250 and up per person, per day. |
|
| |
How
did you hear about us?
|
|
If other:
|
|
|
|
|