Please answer the following ten questions and we can begin planning your vacation immediately!
1.
Last Name: First Name: Middle Initial:
Mailing Address: Apt. #
City: State: Zip Code:
E-Mail Address: Phone Number: - -
2.
What month do you wish to vacation?
January April July October
February May August November
March June September December
3.
For how many days would you like to vacation?
1-2 days 3-4 days 5-6 days 7+ days
4.
How many people are in your traveling party?
1 3 5
2 4 6+
5.
Which of the following activities would you like to do on your vacation? (Check all that apply.)
Antiques Demolition Derby Horseback Riding Swimming
ATV/Snowmobiling Drama/Theatre Movies Tractor Pull
Auto Racing Fairs/Festivals Museums Train Ride
Biking/Hiking Fishing/Ice Fishing Road Races Tubing
Boat Ride Gambling/Gaming Rollerskating Water Slides
Bowling Go-Karts/Mini Golf Skiing Water Sports
Canoeing/Kayaking Golfing Sports Wildlife
6.
Of the activities selected above, list the three most important to the success of your vacation.
1.) 2.) 3.)
7.
Which restaurants do you prefer? (Check all that apply.)
Chinese Family Dining/American Mexican Italian
8.
Where would you like to lodge?
Bed and Breakfast Campground Hotel/Motel Resort
9.
What is your vacationing budget?
$300-$500 $800-$1,000 $1,200-$1,500
$500-$800 $1,000-$1,200 $1,500+
10.
How do you prefer to be contacted?
E-Mail Letter Telephone
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