First Name *

Last Name *

Address *

Suite

City *

Province * AB. BC. SK. NWT. MAN. ONT. PQ. NB. NS. PEI. NFLD & Labrador

Postal Code* eg:Z9Z "space" 9Z9

Home Phone* eg:123-123-1234

Cell phone eg:123-123-1234

Your email: *

Please confirm your email *

The following information is optional:

What type of vacation are looking for? Select one Weddings Family Couples Adults only Active/Adventure Cultural/Educational Sports/Outdoors Classes/Instructional

When are you planning to depart on your next vacation? Select one 2 weeks or sooner 3 weeks to a month 1-2 Months 3 or more months It's cold- get me out of here now!

Where will you be departing from? Select one Edmonton Calgary Grande Prairie Fort McMurray Kelowna Vancouver Saskatoon Winnipeg Other city

If you chose other city above, from which city then?

Preferred Vacation Destination Select one All Countries All of Costa Rica All of Cuba All of Mexico All of Dominican Republic Acapulco Antigua Bermuda Cancun Cancun (Mayan Riveria) Cayo Coco (Cuba) Cozumel Florida Grand Cayman Havana Holquin Huatalco Mexico Ixtapa Jamaica Las Vegas Liberia (Costa Rica) Manzanillo Maui Mazatlan Nassau Phoenix Palm Springs Puerto Plata Punta Cana San Jose (Costa Rica) St Lucia Southwest USA Varadero

Preferred Vacation Destination #2 Select one All Countries All of Costa Rica All of Cuba All of Mexico All of Dominican Republic Acapulco Antigua Bermuda Cancun Cancun (Mayan Riveria) Cayo Coco (Cuba) Cozumel Florida Grand Cayman Havana Holquin Huatalco Mexico Ixtapa Jamaica Las Vegas Liberia (Costa Rica) Manzanillo Maui Mazatlan Nassau Phoenix Palm Springs Puerto Plata Punta Cana San Jose (Costa Rica) St Lucia Southwest USA Varadero

Preferred Vacation Destination #3 Select one All Countries All of Costa Rica All of Cuba All of Mexico All of Dominican Republic Acapulco Antigua Bermuda Cancun Cancun (Mayan Riveria) Cayo Coco (Cuba) Cozumel Florida Grand Cayman Havana Holquin Huatalco Mexico Ixtapa Jamaica Las Vegas Liberia (Costa Rica) Manzanillo Maui Mazatlan Nassau Phoenix Palm Springs Puerto Plata Punta Cana San Jose (Costa Rica) St Lucia Southwest USA Varadero

Other travel destinations of interest? Select one Australia/New Zealand/South Pacific Europe (Northern) Europe inc the Mediterranean Southeast Asia Asia inc China Africa Middle East South America

How many vacations do you take annually? Select one 1 2 3 4 or more

Typically how long do you go for? Select one 2 days 3 days 4-6 days 1-2 Weeks More than 2 weeks

Preferred accommodation rating Select one Budget Moderate (3 stars) Luxury (4 stars) Premium (5 stars) Upscale (5+ stars)

How many persons reside in your residence? Select one 1 2 3 4 5 6 or more Any children? Select one Yes No

Do you follow any of these sports?

PGA If so, how many rounds of golf do you play a year? 1-9 rounds 10- 20 rounds 21-30 rounds 30+ rounds

What is your favorite Cdn golf destination?

What is your favorite Usa golf destination?

NHL CFL NFL MLB Skiing NASCAR Other (please specify)

How did you find out about Just Say Where Travel & Tours?* Select one Word of mouth Newspaper Radio Internet search engine From a brochure

Yes, I would like to receive vacation related information* Select one Yes No

Yes, please text message me short notice travel offers!* Select one Yes No