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1. Contact Information

First Name: Daytime Phone: Last Name: Evening Phone: Address: Email: City: Format: Text HTML State: Please select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     Zip:     Age Range: under 34 34-45 46-64 65+

2. Average Budget & Travel Companions (check all that apply) What is the average budget for your trips? How many companions do you typically travel with? All $1000 or less $1001 - $1500 $1501 - $2500 $2501 - $5000 $5001 - $7500 $7501+ All I travel solo Friends Spouse or significant other Young family Adult children Grandchildren Alumni or special interest group

3. Destination Interests (check all that apply) All Alaska Africa Asia Australia Bahamas Baltic Bermuda Canada Caribbean Continental USA Costa Rica/Central America Europe Greek Isles Hawaii Las Vegas Mediterranean Mexico New Zealand Panama Canal

4. Favorite Vacations (check all that apply) All Adventure Travel All-Inclusive Beach resort Boating / Yacht Condos & Villas Couples Only Cruising Escorted Tours Family Travel Fly / Drive Trips Hiking - Walking - Trekking Tours Luxury Resorts / Hotels Rail Vacations River Cruising/Barging Safaris Singles Vacations Spas World Cruising

5. Travel Interests (check all that apply) All Archeology Art - Culture - Theatre Diving - Scuba - Watersports Ecotourism Fishing Food & Wine Gambling Golf History Shopping Sightseeing - Museums - Gardens Skiing / Snowboarding Sports Enthusiast

6. Preferred Travel Companies (check all that apply) Cruise Vendors All Carnival Celebrity Cruises Cunard Crystal Disney Cruise Line Holland America Norwegian Cruise Oceania Princess Cruises Regent Seven Seas Royal Caribbean Seabourn SeaDream Silversea Cruises Windstar Land Vendors All Abercrombie & Kent Globus & Cosmos Pleasant Holidays Classic Vacations GOGO Worldwide Vacations Club Med Tauck World Discovery Walt Disney World / Disneyland Trafalgar

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