Your Name *

Your Title

Company Name

Type of Organization *
AARP Chapter Bank Church/Synagogue Corporate Retiree Club Credit Union Park & Recreation Dept. Retirement Village Senior Center/COA Tour Operator Travel Agent Other
Address *

City *

State *

Zip Code *

Phone *

Fax

E-mail Address *

How did you hear about InSite?

Please enter the city in which you were born:
(Please do not include your State or Country)

Please tell us about yourself and your travel program (travel planners):

1) How many years has your club been traveling?               

2) Approximate size of your group?                                  

3) Do you currently operate:
    Overnight motorcoach tours?
        Yes    No    Considering
    Domestic air/motorcoach tours?
        Yes    No    Considering     
    International tours?
        Yes    No    Considering     
     Cruises?
        Yes    No    Considering     

4) Approximate number of day trips you run annually?        

5) Approximate number of overnight trips you run annually?

6) Please list your last three overnight travel destinations:
   

7) What domestic destinations are of interest to you and your group over the next 18 months? (check all that apply)
New England  Mid Atlantic   Midwest/Great Lakes
South East     South          Rocky Mountain States
Southwest      West Coast  Pacific Northwest

8) What international destinations are of interest to you and your group over the next 18 months? (check all that apply)
Canada         Europe         Asia/Far East
Central/South America             Africa 

9) Who are your preferred tour operators/travel agencies?
       

10) Are you currently a reader of Leisure Group Travel?   Yes    No

 By submitting your request you acknowledge that you are a qualified group travel planner or industry member.