Trip Planning Form | Travel Untethered

Please include any details, preferences, or special considerations that will help us create a seamless and truly memorable trip tailored to you.

First Name*

Last Name*

Preferred Name

Email*

Phone Number*

Where would you like to go?

When would you like to depart?

When would you like to return?

Are your dates flexible?

Yes

No

What is your departure city/preferred starting airport?

How many people will be traveling?

Is this vacation to celebrate anything special?

At what phase of planning are you in?

What is your hotel/resort budget for all travelers? This just gives me a general starting point and can always be adjusted later. (Please note this does not include airfare)*

Other amount (specify amount)

Is there anything else you “must do” or see?

Travel Protection

By making an insurance selection below, I understand that declining insurance would result in the loss of my travel cost and/or require more money to correct the situation.

I also acknowledge that without insurance, there may be no way to recoup losses, costs, expenses incurred, or make any changes, or reschedule.

Travel Untethered or any of its affiliates will not be held liable due to my decision to decline travel protection for me or any other individuals traveling in my party.

Accept/Decline Travel Protection

Who can we thank for referring you to us?

Would you like to be subscribed to our newsletter and travel updates?

Yes