Travel Survey

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Let's get acquainted! Please take a moment and complete the survey below
so that we can offer you the most customized service available.

General Information

Last Name: First Name:
MI: Work Phone:
FAX: E-mail Address:

Family Information

Family Member Name	Birthday	Passport / Exp.Date
1
2
3
4
5
6

Travel Preferences

We receive lots of special travel opportunities. Check the items below that best describe your travel preferences, so that we may advise you of those specials as the arise

When?
Spring
Summer
Fall
Winter
Last Minute

Where?
Africa
Asia
Bermuda
Canada
Caribbean / Jamaica
Caribbean / Other
Central / South America
Europe / Eastern
Europe / Britain / Ireland
Europe / Mediterranean
Europe / Scandinavia
Europe / Western
India
Mexico
Mideast / Israel
Mideast / Other
South Pacific
TransCanal
USA / Alaska
USA / Hawaii
USA / Other

With Whom?
Single / Young
Single / Mature
Single / Sr. Citizen
Single / Parent
Couple / Young
Couple / Mature
Couple / Sr. Citizen
Family / Young
Family / Teens

What Type?
Cruise
Package
All-Inclusive
FIT
Tour-Escorted
Tour-Non-Escorted

What Budget?
Economy
Moderate
Deluxe

What Interests?
Adventure
Bicycling
Boating / Sailing
Culinary / Wine
Cultural Events
Dancing
Ecotourism
Fishing
Gambling
Golfing
Hiking / Walking
Music
Museums
Shopping
Skiing
Snorkel / Scuba
Spa / Health
Sports
Sun / Beach
Tennis

Other Services Desired

First National Travel Agency 800-832-4556 or 620-662-0587 info@fnta.net