Itinerary Request Form

The most important aspect of planning any trip is to identify as many of the wants and needs of the traveler.  This inquiry can include what the traveler's interests are, where they want to go, how long do they want to go there, what kind of lodging do they want, and how much the traveler can budget for this trip.  For a wine trip, one also needs to consider what kind of wine does the traveler like.  This page is designed to collect as much information as possible so the proposed itinerary can match this dream as closely as possible.  The more information provided the better the end result.  Please print this form and fax it to us at 1-610-388-7959 (a cover sheet is unnecessary). 

Name

Address 1

Address 2

City

State

Zip Code

Country

Phone Number

Fax Number

E-Mail Address

1

What type of wine do you like?

Dry, full-bodied reds (Zinfandel, Shiraz, Cabernet

Sauvignon)
Dry, fruity reds (Pinot Noir,

Beaujolais)
Dry Rosés (Tavel, Anjou)

Full-bodied dry whites (Chardonnays)


Light- or Medium-bodied dry whites
(Sauvignon Blanc, Chenin Blanc)

Sweeter Whites
(Riesling, Vouvray)

Dessert Wines (Ports, Sauternes, Eisweins)

2

Which wine region(s) are you interested in visiting?

France

Alsace

Bordeaux

Burgundy

Champagne

Loire Valley

Rhône Valley

Germany

Mosel Valley

Rheingau/Mittelrhein

Rheinhessen/Pfalz

Italy

Piedmont

Tuscany

North America

CA - Napa

CA - Sonoma

NY - Finger Lakes

NY - Long Island

ON - Niagara Peninsula

OR - Willamette Valley

PA - Brandywine Valley

VA - Shenandoah Valley

WA - Columbia Valley

3

Please list any specific towns in which you would like to stay.


4

How many nights would you like to stay in each region/town?


5

If you know the dates you will be traveling, please list them below, including any dates that are not flexible.


6

What sort of lodging would you like to explore?

Bed & Breakfast

Country Inn

Hotel

Château/Villa

7

Please identify a "per night" budget range for your lodging (currency in US dollars).

$50 - $100

$100 - $150

$150 - $200

$200 +

Please find the most interesting place of lodging available in that region.

8

Please include any additional information you feel would be helpful in creating an itinerary (e.g. what travel interests do you have besides wine?).


9

Will you need a car for this trip?

Yes

No

10

What size car do you prefer?


11

Please provide any rental agency preference.


12

Will you need air transportation for this trip?

Yes

No

13

From which airport will you start your trip?


14

Please provide any airline preference you may have.


15

Do you want wine-shipping materials awaiting you at your first night's lodging?

Yes

No

16

Will you require a tour guide/driver/translator?
NOTE - This service is not available in all areas)

Yes

No