* Name:
Company:
*Daytime Phone:
Home Phone:
E-mail:
*Mail Address 1:
Mail Address 2:
*City:
*State:
* ZIP:
Have you used our Vacation Service before?
No
Yes
If no*, how did you hear about us?
-
Internet
Mailing
Newspaper/Magazine
Telephone Book
Radio
TV
Walk-in/Drive
by
Word of Mouth
Corporate
Account
How did you find our site?
Your
Company and Site
Search Engine (yahoo, excite, etc.)
Other
What is your age group?
Under 35
36-50
51-65
Over 65
How many vacations per year do you take?
1
2-3
4-5
More Than 5
What is your most common trip budget? (per
person)
Up to $3,000
$3,000 to $8,000
$8,000 to $15,000
Over $15,000
What type of vacations are you interested in?
Adventure
Biking
Cruises
Deep Sea Fishing
Domestic
Educational
Escorted
Family
Golf
Gourmet Cooking
Hiking/Camping
Historical Sightseeing
Horseback Riding
Independent
International
Safari
Sailing
Scuba Diving
Snow Ski
Spas
Tennis
Water Ski
Weekend Getaway
Where would you like to go on your next
vacation?
Africa
Alaska
Asia
Australia
Canada
Caribbean
Eastern United States
Europe
Florida, USA
Hawaii
Las Vegas, USA
Mexico
Middle East
South/Central America
South Pacific
Western United States
When would you like to go on your next
vacation?
* How would
you like to receive our specials?
-
E-mail
Mail
Both
Neither
Preferred Vacations Specialist:
No Preference
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Your Comments:
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