PERSONAL INFORMATION:
Name (as it appears on Govt. ID)	Date of Birth
Name (as it appears on Govt. ID)	Date of Birth
Street Address
City, State, Zip
Phone Number - Work
Phone Number - Alternate
e-mail - Work
e-mail - Alternate
Military Discount	( With Proof of: Active Duty, Retired, or Reservist)
Over 55 years of Age
Your Budget for this Vacation
Best Competitors Price

AREA OF INTEREST:  

Lodging             Land Tour        Land Tour & Cruise  

ADDITIONAL INFO:

  Air Included     Car Included    All-Inclusive Resorts       Adult Only       Travel Insurance (highly recommended)

LODGING:
Destination Choice #1
Destination Choice #2
Check-in Date
Check-out Date
Number of Adults
Number of Children
Age of Children
Number of Rooms
Room Type	(2 Queen, King, etc.)
CAR RENTAL:	(only available with hotel package)
Pick-Up Time
Drop-Off Time
Pick-Up Location
Drop-Off Location
Vehicle Choice
Extras

Type any additional requests in this area.