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: