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Email:
First:
Last:
Company:
IATA / CLIA #:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Phone:
Fax:
Is your specialty area
(please select all that apply):
Beach Vacation / Sun and Fun
Cruises
Luxury
Meetings / Incentives / Conferences
Gay / Lesbian
Honeymoon / Weddings / Romantic
Independent / Fly Drive / FIT
Singles Vacations
Sporting Events
If other, please specify:
Are you an Agency Owner?
Does your agency have a web site?
Are you a part of consortium?
If yes, which one?:
Agency Business Description: Corporate center or web based agency
Corporate/meeting planner
Home based agent
Host agency
Outside rep
Retail store front/brick and mortar agency
Agency sales volume : 1-3 million
3-5 million
5-10 million
Over 10 million
Under 10 million
Corporate Booking Percentage: 0%
1-25%
26-50%
51-74%
75-99%
100%
Leisure Booking Percentage: 0%
1-25%
26-50%
51-74%
75-99%
100%
Personal Booking Type - Luxury: 0%
1-25%
26-50%
51-74%
75-99%
100%
Personal Booking Type - Mid Range: 0%
1-25%
26-50%
51-74%
75-99%
100%

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