Traveler Profile

The information you supply will help us plan your vacations.  This information will remain confidential and will not be shared with any outside source.  This information will become part of your profile so you will never have to give us membership numbers, family information, interests, etc.,  again.

Thank you for taking your time to fill out the form - we do appreciate your efforts.

PERSONAL INFORMATION * - required information * First Name * Last Name * Address * City * State * Zip * Country I would like to receive vacation offers via: email mail both I do not wish to receive vacation offers at this time * Phone Number Mobile Number Fax Number * Email Address Age Range Under 3535 - 5051 - 6566 and over Gender MaleFemale Status Single Married -- Spouse/significant other name: -- Anniversary: Young Family Retired

PAST LEISURE TRAVEL INFORMATION Frequency of Leisure Travel Once per year Two or Three trips per year Four or Five trips per year Six or more trips per year Average length of leasure vacation Ten days or less 11-20 days Over 20 days Average Budget per person, per leisure vacation Up to $3,000 $3,000 - $8,000 $8,000 - $15,000 Over $15,000

LEISURE TRAVEL PREFERENCES I prefer or would like more information about (check all that apply) Cruising Barging Expedition Cruising River Cruising Small Ship Trans Atlantic World Voyages Escorted Tours Private Tours (My party only) Group Tour Full Itinerary Relaxed Itinerary Family Vacations Private Jet Vacation Lodging Hotels Ranch/Lodges Resorts Spas Rail Travel Short Notice Travel I have traveled to or would like more information about (check all that apply) Africa Alaska Asia Australia, New Zealand Canada Caribbean Central America China Continental US Eastern Europe Hawaii Mediterranean Mexico Middle East North America Pacific Rim Polar Regions Russia Scandinavia South America South Pacific Western Europe I enjoy doing the following when on vacation (check all that apply) Art/Theater Ballooning Climbing Cycling Diving Extreme Sports Family Adventures Food/Wine Golf Hiking Indigenous Cultures Music Photo Treks Safari North America Sailing Sun/Sand Walking Water Sports Wildlife/Nature I dine on cuisine native to the vacation region I prefer specific types of food while on vacation:

LEISURE TRAVEL SPECIFICS Passport Information Name on passport Passport number Expiration date Citizenship Place of issue Issue date Place of birth Date of birth Frequent flyer numbers Airline Account No Status (if applicable) My preferred Airline(s) are I prefer the following airline seating (check all that apply) Window seat Aisle seat first class only Business class or above Private Jet Hotel Membership Numbers Hotel Name Membership Number I prefer the following amenities (check all that apply) Non-smoking Smoking Deluxe Room Junior Suite Penthouse Suite King Bed Only Butler Service Lower Floor Higher Floor Water View (if applicable) Hotel Pool Private Pool Exercise Facility Rent a car preferences Rent at airport Rent at hotel Hire private car/driver Manual Automatic Car Membership Numbers Car Firm Membership Number Luggage handling I always carry my luggage with me I use the following luggage service I would like to use a luggage service in the future Travel Insurance I require travel insurance for each vacation I would like to have travel insurance for future vacation I don't require travel insurance