Landfall American Express Travel

Client Survey Form

By eMailing this survey to Landfall American Express Travel, we will be able to match your travel interests and tastes. In addition we can offer you hot deals and value added travel specials as they happen! Your eMail Address will be kept confidential and only used for Landfall American Express Travell to communicate with you. We want to keep you on the cutting edge with vacation and cruise values because you deserve a great vacation.

Name #1: (As It Appears On Passport)
Name #2: (As It Appears On Passport)
eMail Address:
Address Line 1:
Address Line 2:
City:
State:	Zip Code:
Home Telephone: (With Area Code)
Your Travel Agent:
Your Age Group:
Life Cycle:
Average Trip Budget Per Person:
Usual Trip Length:
Trip Frequency:
Organization Of The Trip:
Included Meals:
Best Season For Travel:
Quality Of The Hotels:
I/We Like To Fly:	First Class Coach Business Doesn't Matter
How Far In Advance Do You Usually Book Your Travel?
Can You Travel On Short Notice?	Yes No
What Most Influences Your Travel Decisions?
Destinations: Visited Or Would Like To Visit	Africa Alaska Asia Australia Canada Caribbean China Continental USA Europe Mexico Middle East North America Pacific Rim / Hawaii Russia Scandinavia South America South Pacific
List Your Last Three Trips: And Month / Year You Traveled Example: Cancun / March 2001	# 1 # 2 # 3
List Your Next Three Trips: And Month / Year You Would Like Go Example: Cancun / March 2008	# 1 # 2 # 3
Travel Interests: Please Check All That Apply	Adventure Travel All-Inclusive Vacations Alternative Liftstyle Trips Art / Culture Bed & Breakfast / Country Inns Bicycling Tours Boating / Yacht Charters Cruises Disney / Theme Parks Diving / Watersports Ecotourism Escorted Motorcoach Tours Family Travel Fly / Drive Food & Wine Gambling Golf Hiking / Walking Tours Island Resorts One Day Trips Safaris Shopping Trips Sightseeing / Museums Singles Trips Skiing Spa & Fitness Tennis Theatre / Entertainment Villa / Condos Others
Have You Taken A Cruise Before?	If Yes, What Ship(s) Have You Sailed On?
Subscribe To Our Weekly Hot Steals And Deals eNewsletter	Yes No
Additional Comments:

Re-enter The Spam Prevention Security Code Number Shown Above:

Thank You!