Name:
Address:
*City State ZipCode:
Phone:
*Email:
*Age:
*Refered to touraine travel by:

Wish to visit:
Africa Alaska Asia/Orient
Australia/New Zealand Britain/Ireland Caribbean/Bermuda
Europe Hawaii Las Vegas
Orlando/Disney Mediterranean Mexico
South Pacific USA/other Florida
Tahiti/Fiji    

Life Cycle:
Single Married Family(young)
Family(teens) Senior 65 plus College student
31-50 under30 51-65

Trip Type:
Air Only All-Inclusive Cruise
Package Escorted Tour Group
Independent Tour    

Special Interest:
Ecotourism Active/Adventure Cruise
Family Fun Sightseeing Culinary/wine taste
Gambling Golf Beach
Art/Culture/Theater Skiing Snorkeling/Scuba-Diving
Spa/Health Sports Shopping
Hiking/Walking Boating/Sailing Safari
Nightlife/Entertainment    

Budget:
Under 1000 1000-2500 2500-5000
5000 +    

Desired Length Of Stay:
Quick getaways/weekend a week two weeks over two weeks

Client Source:
Agent personal contact Corporate Client Referral
Relative Tourainetravel.com Internet survey
yellow Pages Others:

When we like to travel:
Spring Summer Fall
Winter Christmas/New year Feb School vacation
April School vacation Spring break/college Anytime
Last Minute    

How many times in the last year have you booked trvael arrangements online?:
1-3 3-5 5 +

How many times have you booked travel arrangements with travel agents?:
1-3 3-5 5 +

Touraine Travel offers last minute specials and travel information, would you be interested to receive this information via email?
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