1. - PLEASE LIST YOUR NAMES EXACTLY AS THEY APPEAR ON YOUR PASSPORTS. NEXT TO YOUR NAME, PLEASE ALSO LET US KNOW THE DATE ON WHICH YOUR PASSPORT IS DUE TO EXPIRE.     (Include the ages of children under 21)

   AIRLINES NOW CHARGE SUBSTANTIAL RE-TICKETING FEES IF PASSPORT NAMES DO NOT MATCH NAMES ON PASSPORT:     PLEASE DO NOT PROVIDE YOUR PASSPORT NUMBERS

   Guest # 1	Date of Birth
   Guest # 2	Date of Birth
   Guest # 3	Date of Birth
   Guest # 4	Date of Birth

   Note: All Valid US Passports must have six months or more validity from return date to the USA

2. - ADDRESS:
   

   Primary Residence:

   Secondary Residence:

3. - YOUR DAYTIME AND EVENING TELEPHONE NUMBERS::
   

   Mobile:	Home:	Work:
   Email:	Do you prefer that we contact you by Phone or E-mail in our future communications:By PhoneBy E-mail

4. – PLEASE TELL US WHERE THIS FIRST TRIP WITH CHURCHILL & TUREN WILL TAKE YOU. WHAT IS YOUR PREFERRED METHOD OF TRAVEL, A PRIVATELY CRAFTED ‘JUST FOR YOU” EXPERIENCE, ONE OF THE BETTER FULLY ESCORTED GROUP TOURS, OR AN EXPERIENCE AT SEA, OR ON THE RIVER, ABOARD A TOP-RATED CRUISE LINE OR RIVER BOAT?

    

   Destination(s)

    

   Preferred Travel Mode:

   Totally Private Arrangements with the best guides and driversFully Escorted Tour with one of the World’s Top Ten Tour FirmsCruise/River Boat (Is there a cruise line you prefer?

5. – WHAT IS THE EARLIEST DATE YOU COULD DEPART HOME AND THE DATE BY WHICH YOU MUST RETURN HOME?
   

    

    

   Can Depart

   Must Return Home By

   How Many Nights?

6. - HOW WERE YOU REFERRED TO CHURCHILL & TUREN LTD.?  

   • The New York Times

   • Fox News Travel

   • Forbes Magazine

   • The Wall Street Journal

   • Conde Nast Traveler List

   • Travel + Leisure Magazine

   • Referred by riverboatratings.com

   • Referred by Traveltruth.com

   • Referred by Cruisetruth.com

   • As luck would have it, just searching web

   • Talk Radio Appearance by C&T

   • Referred by Past C&T Guests

   • Other

    

7. – WHAT CAN YOU TELL US THAT WILL HELP US ENVISION THE KIND OF EXPERIENCE YOU ARE SEEKING? WHAT ARE YOU MAJOR INTERESTS /GOALS ON THIS TRIP

   • Sheer Relaxation and Unwind

   • History and Seeing Major Sites via Escorted Tours

   • Experiencing Churchill & Turen Contemporary Life Touring

   • Seeing as much of the destination as possible

8. - PLEASE TELL US A LITTLE BIT ABOUT YOUR WORK BACKGROUND (May be useful for a VIP List – Please don’t be shy)

    

9. – WHAT ARE SOME IMPORTANT THINGS YOU WOULD LIKE US TO KNOW ABOUT YOU AND YOUR PERSONAL TRAVEL PREFERENCES?

   # 1

   # 2

   # 3

    

10. - PLEASE DESCRIBE THE WAY YOU PREFER TO TRAVEL

    • We are frugal travelers and we would gladly give up quality in order to achieve the best price. (Holiday Inn) Balconies and larger rooms are not at all necessary. Price really is of paramount importance.

    • We are not looking for the cheapest anything but we are not luxury travelers. Good value in the middle range best describes us (Hyatt or Marriott) Standard rooms in good hotels and a mix of private sightseeing and group tours generally suits us best. Mid-range cruise cabins with a window on a lower or mid-ship deck. Balconies not necessary. On a riverboat, a French Balcony is fine rather than a full balcony where we can sit down.

    • We are somewhere between true luxury travelers and middle-of-the-road travelers. On a cruise ship, we would like one of the nicer cabin categories with a balcony, but we do not require the largest suites on the top deck. (Fairmont or Inter-Continental) We will consider some private touring. We prefer first-class group tour firms.

    • This is a special vacation, and we are seeking top-tier quality accommodations (Four Seasons or Aman Resorts. We’ve come to Churchill & Turen Ltd. because you specialize in upscale vacation arrangements. We prefer one of the better suites available with butler service if available. We prefer spacious accommodations with large measures of private arrangements. View is important. Please indicate an estimated budget for this journey Based on two people)   DO NOT INCLUDE AIRFARE

    • Value is more important than price and we want a truly memorable vacation. There really isn’t any budget.

    • We’ve come to you because you specialize in upscale vacation planning. Cost is not really a major issue.

11. –DO YOU HAVE A CURRENT TRAVEL AGENT? DO YOU HAVE TRUST ISSUES THAT WE NEED TO ADDRESS CANDIDLY?

     

12. – ARE THERE ANY PHYSICAL LIMITATIONS OR DIETARY REQUIREMENTS WE NEED TO BE AWARE OF WHEN PLANNING ACTIVITIES ON YOUR BEHALF? ANY ALLERGIES? KNEES, BACK ETC? ARE YOU A STRONG WALKER?

     

13. – SOMETIMES WE CAN HELP YOU THE MOST BY KNOWING WHAT YOU LIKE THE LEAST. WHAT WOULD REALLY TURN YOU OFF ON THIS LAND OR CRUISE EXPERIENCE?

     

14. – WHAT WOULD WE HAVE TO DO TO HAVE YOU SAY, SIX MONTHS AFTER YOUR VACATION, THAT YOU TRULY HAD ONE OF THE BEST EXPERIENCES OF YOUR LIFE?

     

15. –WOULD YOU PLEASE BRIEFLY SUMMARIZE YOUR ESCORTED TOUR OR CRUISE EXPERIENCE? (PLEASE NAME CRUISE LINE OR TOUR COMPANY IF POSSIBLE)

    Fully Escorted Tours

    Cruises Ships/River Boats

16. – FOR THIS TRIP, HOW WILL YOU BE MAKING YOUR AIR ARRANGEMENTS?

    • We have miles and will do our own air. We love talking to the airlines on the phone.

    • We will likely use the Tour Operator or Cruise Line Air/Sea Program – Need your advice.

    • We will do our own coach air, most likely booking directly with the airline.

    • We would like to be referred to Churchill and Turen’s Air Mileage Experts (fee-based)

    • We would like to be referred to the best firm to handle the purchase of Business Class air-inclusive of Flight Monitoring Services.

     

17. – WHICH OF THE FOLLOWING OPTIONS BEST DESCRIBES SOMETHING YOU WOULD LOVE TO DO ON VACATION, DURING GUIDED TOURING OR  DURING THE LAND PORTIONS OF A CRUISE?

    • Historical Sightseeing with an Excellent Guide while seeing the main sites.

    • Insider Shopping Experiences

    • Visit Several of the Best Local Restaurants

    • Take Cooking Courses

    • Wine Tastings and Visits to Local Vineyards

    • Active Activities like Hiking and Biking

    • Accompany a Guide on a Photography-Oriented Tour

    • Visit Smaller Towns and Villages outside Larger Cities

    • Just Walk Around on Our Own

    • Relax at a Spa or Soak up the Sun

    • Learn as much as possible about Contemporary Life

18. –  HOW MUCH PRIVATE SIGHTSEEING DO YOU THINK YOU WILL WANT INCLUDED IN THIS VACATION? BY THAT WE MEAN HALF OR FULL DAYS OF SIGHTSEEING. IF YOU ARE GOING ON A CRUISE, DO YOU FEEL YOU MAY WANT US TO ARRANGE PRIVATE SHORE EXCURSIONS IN PLACE OF SOME OF THE BUS TOURS PROVIDED BY THE SHIP?

19. - IN A REALLY GOOD HOTEL – CRUISE SHIP – RIVER BOAT -  DO YOU PREFER

    • The least expensive standard rooms – (Note: Churchill & Turen can book the least expensive accommodations at any of the several thousand Virtuoso Properties in our worldwide network. You will receive Virtuoso amenities in any category of room you select, along with a complimentary upgrade if space is available.

    • Deluxe rooms with a preferred view

    • Mini or junior suites

    • Best Available Suites

    If you have a choice, would you prefer a smaller, upscale boutique property or a top-tier larger hotel with more amenities and facilities?

20. – IS THERE ANYTHING WE SHOULD HAVE ASKED BUT DIDN’T? PLEASE SHARE ANY ADDITIONAL COMMENTS:

HERE IS THE DREADED FINE PRINT: WE’LL TRY TO MAKE IT PAINLESS

1. - CHURCHILL AND TUREN LTD. DOES NOT CHARGE ANY FEES OF ANY KIND IN CONJUNCTION WITH THE PLANNING AND BOOKING OF CRUISES, RIVERBOAT VACATIONS, OR ESCORTED TOUR PROGRAMS FOR ETCC MEMBERS.

2. – CHURCHILL & TUREN LTD. OBTAINS AND REFUNDS 100% OF ALL APPLICABLE DISCOUNTS TO ALL OF OUR CLIENTS WITH NO BLACKOUT DATES OR EXCEPTIONS. THIS HAS BEEN OUR POLICY FOR THE PAST THREE DECADES.

3. – CHURCHILL & TUREN REQUIRES THAT ALL GUESTS TRAVELING TO ANTARCTICA, SOUTH AMERICA, AFRICA, AND ASIA TAKE OUT APPROPRIATE, COMPREHENSIVE TRAVEL INSURANCE BY A FIRM THAT MEETS OUR CRITERIA. WE CARE ABOUT YOU AND WILL DO ALL POSSIBLE TO ASSURE YOUR SAFETY AT ALL TIMES.

Thank you for completing this form. Please call in your credit card details for our Annual Club Membership Fee. Your responses above will help us work together to achieve the best possible vacation outcome as we attempt to exceed your expectations. We will review this carefully and be back to you promptly once your membership has been confirmed. (If it is determined that the fit is not mutually comfortable, your Elite Traveler Concierge Club Membership Fee will not be processed)

Churchill & Turen Ltd. is a Proud Member of the $27.3 Billion “By Invitation Only” Virtuoso Network of the World’s Leading Travel Consultants. Virtuoso maintains On-Site Travel Planning Offices in 91 Countries. Our Portfolio of the World’s Leading Hotels includes complimentary upgrades and amenities for all booked Churchill & Turen Guests.

As a Churchill & Turen Ltd. Client and ETTC Member, you will have access to our worldwide vacation planning databases on the consumer websites in our award-winning Churchill & Turen Media Group. a complimentary subscription to our award-winning Virtuoso Life Magazine, and our monthly ad-free Travel Intel Report.

CHURCHILL & TUREN AWARDS TOTE BOARD

• Top Ten Bespoke Worldwide Travel Planners - Travel + Leisure Magazine

• World's Top Riverboat and Small Luxury Cruise Specialists - Conde Nast Traveler

• Gold Award Top Production - Tauck Tours

• Top Producing Travel Consultants in the $27 Billion Worldwide Virtuoso Organization four times

• World's Best Luxury Cruise Specialists - Town & Country Magazine

• Featured River Boat Specialists - AARP Magazine

• Named Two of only Eight Travel "Superstars" - Conde Nast Traveler

• Top Production President's Club - Abercrombie & Kent

• Named the World's Best Travel "Generalists" by Conde Nast Traveler

Featured in the following publications: The Washington Post - AARP Magazine - Consumer Reports, The New York Times The Chicago Tribune - The Wall Street Journal - Conde Nast Traveler - Travel + Leisure - Town & Country Magazine - Financial Sense – The Robb Report

Personal Appearances: NBC News, CNN, ABC News, Fox News, more than 20 Talk Radio Shows nationwide, and National Public Radio.

We look forward to receiving your completed confidential travel profile so we can begin exploring this world together. Our Pledge: Wherever you go and whatever you do – we will always have your backs covered.

Angela and Richard Turen and the Team at Churchill & Turen Ltd.

630-717-7777    Nationwide Toll-Free 800 – 445 – 7979

aturen@traveltruth.com  rturen@traveltruth.com