Thank you for contacting Boehm Travel's leisure division.Please complete the following vacation request form and a leisure agent will respond to your request.
(* indicates required fields)

Contact Information
Name*
Address
City
State
ZIP
Phone #*
Fax #
E-Mail Address*

Travel Dates
Departure Date
Return Date
Number of Travelers
# of Adults
# of Children (please list ages)

INTERESTED IN: (check all that apply)
Cruise			Cabin Type
With Flights:	No Flights:		Inside: Outside:	Balcony: Suite:

Tour Packages
Hotel, Flights, Car:		No Flights:	All-Inclusive (includes meals):
Other:

DESTINATIONS (check all that apply)
Caribbean	(list specific islands if applicable)
Europe	(list specific countries or areas if applicable)
Alaska	(list specific areas of interest)
Florida	(list specific areas of interest)
Hawaii	(list specific areas of interest)
Other:	(Please be as specific as possible -- country, city, areas of interest)

ACTIVITIES (check all that apply)
Water sports	Sight Seeing	Golf	Beach	Fishing
Diving	Shopping	Snow Skiing	Hiking	River Rafting
Entertainment	Children's Camp
Other
Price Range/Budget:			Per Person Total: