Please help us to satisfy your Holiday needs by completing this form
client details
Reference Number
Date
Time of Arrival
First Name(Mr)
First Name(Mrs)
Surname
Date of Birth(Mr)
Date of Birth(Mrs)
Email Address(Mr)
Email Address(Mrs)
May we e-mail or sms you with amazing specials
Yes
No
Cell Number
Alternate Number
Physical Address
Marital Status
Married
Engaged
Living Together
Single
Divorced
Widow/Widower
Number of Kids
Ages
LEISURE PROFILE: How is important has a vacation become to you after Covid-19
Are you part of any Travel Club , if yes which one?
How are you going on vacation?
Holiday House
Caravan
Timeshare
Camp
Points
Private
Travel Agent
What are you your Annual Vacation Accommodation costs:
N$1 000 - N$4 000
N$4 001 - N$8 000
N$8 001 - N$15 000
N$15 001 - N$25 000
N$25 000+
Where were you on your last Local vacation?
Where were you on your last International vacation?
Where will your next vacation be?
Where is your favourite international holiday destination?
Did you know that Global Travel Alliance is the Largest Travel Club in Africa and the Southern Hemisphere?.
YES
NO
Are you interested in earning a passive income through travel and holiday?.
YES
NO
FINANCIAL PROFILE: Occupation
Spouse/Companion
Which one do you make use of ?
Credit Card
Debit Card
Cash
Gross combined Monthly income:
N$0-N$25 000
N$25 001-N$35 000
N$35 001-N$50 000
N$50 001-N$70 000
N$70 001-N$100 000
N$100 000+
ARE YOU AWARE THAT YOU REQUIRED TO PARTICIPATE IN A 60 MINUTE TOUR IN ORDER TO QUALIFY FOR ANY OF THE COMPLIMENTARY GIFT
YES
NO
Please Note: If the last 5 (five) digits of the credit/debit card coincide with the lucky number : WE MUST CONNGRADULATE YOU!! YOU ARE A WINNER OF N$20 000.00 CASH
Refer up to 7 friends to attend a presentation
Please complete - we are taking a vacation because:
OFFICE USE: Time by Table
Agent Name
Time depart
Result
Comments
SUBMIT
Terms and conditions apply
THANKS FOR COMING!!
