VIP Vacation Planner Request Form

You may desire to call us for immediate assistance for peak travel times and holidays.
May-Sept, Thanksgiving, Christmas/New Years and Feb/March can be very busy.

Please complete the form below in its entirety. You will be contacted quickly by one of our courteous and friendly travel specialists. You will save time, money and stress and have access to the hundreds of travel specials we receive weekly. To make a reservation, request a specific vacation package or to just start planning your next vacation or cruise, by filling out the form you will give us the information we need to give you the highest quality service. Your privacy is important to us and is protected by SSL Technology. You will be glad you took the time to give us this information. Please note that ALL quotes and pmts through Fiji Escapes Travel will be in US$.
URGENT, I want to secure my travel desires NOW.
Just shopping and browsing
For IMMEDIATE VIP ASSISTANCE, after you have filled out the basic information here, go to the bottom of this form and complete the Vacation Questionnaire.  It is formatted to provide us with vital information for YOUR tailored made vacation or honeymoon.
First Name: * Enter name as it appears on
Last Name: * passport or drivers license.
Email Address: *
Day Phone:
* Best Time to Call: * 
Evening Phone:
Best Time to Call:   
Cell Phone:
Best Time to Call:   
Adults *  Names * 


Total Trip Budget
(US Dollars)
Please estimate the total budget for your entire party you would like us to target. We promise you great value and a memorable experience.
Departure City* Depart:   *  
Destination(s)    Length of Trip: *  
Service Class

Please check the boxes of interest  so our travel specialists can customize your vacation to your specific requirements
Dive Package
Yacht Charter 
Tour Packages 
Romantic Escape
Adventure Vacation

Spa Package
Eco Adventure
Surprise Vacation
Private Jet Vacation
Cultural tour
Family Vacation

Keep me updated with future offers related to my interests.

Please use this box to identify any special requests you may have for Destination, hotels, condos, villas, preferred activities, or special needs .
What type of vacation or tour? Include a custom land package? Car rental? What area would you like to stay? What kind of activities are you interested in? Anything to help us make your vacation a more enjoyable experience.

Referred by? How did you find us ?
Preferred consultant?

Request your favorite agent? 
What are the five (5) most important components that will assist us in designing your fabulous vacation?
Mailing Address Box: Not mandatory now, but will be necessary when we need to send you your itinerary and documents.  
Would you like to be put on our emailing list to be kept up to date on our specials?
Yes No
Thank you very much for your patience! Please hit the submit button only once.
All items marked with * are mandatory.


Fill out our Vacation Questionnaire or our Honeymoon/Romance Questionnaire and your request will receive priority.
BBB Online

©1996-2011, McCoy Enterprises Limited.
P.O. Box 275 Kahului, Maui, HI 96733