Marcum Travel Enterprises - Travel Preference Form

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E-mail Address: *

First Name *

Last Name *

Birthdate *

Citizen?
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If No, Country Of Citizenship

Street Address *

Line 2:

Apt./Suite

City

State/Province

Country

Postal Code

Client Type
Leisure Corporate Both
E-mail Marketing
Yes No
Primary E-mail

Home Phone

Work Phone

Cellular

Seat Preference
Aisle Bulkhead Window Exit Row
Ticket Preference
Electronic Paper Ticketless
Smoking Preference
Smoking Non-Smoking
Special Meals

Comments

Referred By

Referral Comments

Age
Under 30 31-40 41-50 51-65 Over 65
Trip Budget
Up To $1000 $1001-$1500 $1501-$2500 $2501-$5000 $5001-$7500 Over $7500
Trip Duration
3-4 Days 5-7 Days 8-14 Days Over 14 Days
Trip Frequency
1/Year 2-3/Year 4-5/Year Over 5/Year
Lifecycle
Single Single Parent Young Family Retired Widowed
Suppliers
Carnival Cruises Celebrity Cruises Holland America NCL Royal Caribbean Apple Vacations Brendan Worldwide Classic Vacations Club Med Continental Vacations Delta Vacations Funjet Vacations Pleasant Holidays Qantas Vacations Trafalgar
Season
Fall Travel Spring Travel Winter Travel Summer Travel
Decision Factors
Agent Recommendation Word Of Mouth Holiday Cards Particular Promotion Price Not A Factor Price Of A Trip Read Article Time Of Year
Destinations
Africa Alaska Asia Australia California Canada Caribbean China Continental USA Disney Eastern Europe Europe Florida Fiji Great Britain Hawaii India Japan Las Vegas Mexico Mediterranean Middle East New Zealand North America Northeast USA Northern Europe Pacific Rim Polar Regions Russia Scandinavia South America South Pacific Southeast Asia Southern Europe Southwest USA Tahiti Western Europe
Travel Interests
Adults Only Resorts Adventure Travel All Inclusive Alt. Lifestyles Art/Culture/Theater Bed And Breakfasts Bicycling Tours Boating/Yachts Clothing Optional Cruises Diving/Watersports Eco-Tourism Escorted Tours/Motorcoach Family Travel/Disney Fly/Drive Trips Food & Wine Gambling Gay/Lesbian Golf Hiking/Walking Island Resorts/Sun & Sand Luxury Resorts/Hotels Rail Tours Religious Safaris Senior Travel Shopping Tours Sightseeing/Museums Singles Trips Single Parent Travel Skiing Spas & Fitness Standard Hotels Tennis Villas/Condos Holiday Travel Special Events

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Marcum Travel Enterprises
Thornton, IL 60476
(708) 564-5021
marcumtravel@comcast.net