Name:     
Address:  
          
City:      
State:       
Zip Code:  
Phone:        
E-mail:      

Dates in question:    
Origination?          
Destination?          
Number of people?       
                       Adults     
                       Children

Names:      
            
            
            
            
            

Flying                
Driving               

Number of nights (minimum of 2):  

Select preference(s):
      Hotel
      Motel
      Bed & Breakfast
      Inn
      Resort
     
Amenities of interest:
       Number of Rooms   
       Number of Beds  
               King    
               Queen   
               Double  
               Twin    
      Cot                    Microwave
      Crib                   Kitchenette
      Pool                   In-room phone
      Jacuzzi                In-room fax
      On-site Dining         Modem hookup

Air Accommodations:
      First Class
      Coach
     Preference     

Car Rental:
      Economy
      Mid-size
      Full-size
      Luxury 
      Mini-Van
     Preference     

      Leaf peeping          Museums
      Downhill Skiing       Shopping
      X-country skiing      Hiking
      Snowmobiling          Treking
      Sailing               Canoeing
      Hunting               College Tours
      Fishing               Antiques
      Horseback Riding      Golf
      Sugaring (in season)  Snowshoeing

      Check
      Bank Check

      VISA
      MasterCard
      Discover
      American Express
       Name on card:      
       Card number:       
       Expiration Date: