Help us to help you. 
By completing this survey, we will know better what our clients are looking for in vacation travel. It will help us to design vacation packages that will meet your requests.  It will also help us get to know you better and allow us to be your personal shopper / travel agent to watch for specials and travel experiences that may be of interest to you.
This travel survey will help us help you plan your vacation

I prefer to travel during these months. (Check all that apply.)

January       February   March         April    
May            June         July            August   
September  October     November   December 

Travel Style: (Check all that apply.)

Individual Travel
Group Travel
Cruse Vacations
Other, Please Specify

My favorite interest's) while traveling include (select all that apply.)

Adventure                Architecture               Beaches                  
Bicycling                 Clothing Optional        Cooking Classes          
Fine Dining              Gambling                   Golf                     
Gym                       Hiking                        Kayak / Canoe / Rafting
Museums / History  Nightclubs                  Running                  
Safari / Wildlife        Sailing                       Scuba                    
Shopping                Skiing / Snowboard     Swimming                 
Tennis                    Theatre / Concerts      Wine                   
Other, Please Specify 

I have traveled in the past to: (Check all that apply.)

Africa                     Amsterdam             Asia                      Australia / New Zealand  
Canada                  Caribbean                Central America     Disneyland / Disney World
Eastern Europe       France                    Germany               Great Britain            
Greece                   Hawaii                    Italy                       Key West                 
Las Vegas              London                   Los Angeles           Miami / Fort Lauderdale  
Mexico                   New York                Paris                     Palm Springs             
Provincetown           Puerto Vallarta        Rome                    San Francisco            
Scandinavia            South America         Spain                    Tahiti / Fiji            
Thailand                   Other, Please Specify 

My Favorite Vacation / Trip was to: Please Specify:


In the Next 3 years, I would like to visit: (Check all that apply.)

Africa                     Amsterdam             Asia                        Australia / New Zealand  
Canada                  Caribbean                Central America       Disneyland / Disney World
Eastern Europe      France                     Germany                 Great Britain            
Greece                  Hawaii                     Italy                         Key West                 
Las Vegas             London                    Los Angeles             Miami / Fort Lauderdale  
Mexico                  New York                Paris                        Palm Springs             
Provincetown          Puerto Vallarta        Rome                       San Francisco            
Scandinavia           South America         Spain                       Tahiti / Fiji            
Thailand                   Other, Please Specify 

Cruise Destinations I would like to cruise to: (Check all that apply.)

Alaska
Caribbean
Europe
Hawaii
Mexico
South America
Other, Please Specify

Travel Resources I have used to plan travel include: (Check all that apply.)

Internet Researching Travel   Internet Purchasing Travel    Travel Agent                  
Damron Guides                   Ferrari Guides                     Sparta us Guides          
Odysseus Guides                Advocate Magazine             Curve Magazine                
Genre magazine                  Our World Magazine            Out & About Newsletter 
Out Magazine                      Passport Magazine             Travel & Leisure Magazine
Conde Nast Traveler Magazine
Other, Please Specify 

Age Category:

Under 30
31 - 45
46 - 65
Over 65

Trip Budget (per person per trip) (Check all that apply.)

Under $500
$500 - $1000
$1000 - $1500
$1500 - $2000
$2000 - $2500
Over $2500

Life Cycle

Single
Coupled
With Minor Children
Retired

Gay Travel Preferences (Check all that apply.)

Gay Group Tours
Gay Group Cruises
Gay Exclusive Cruises
Gay Sporting Events i.e. Gay Games
Gay Special Events i.e. Sydney Mardi Gras

Please provide the following contact information:
This information and mailing list is for the exclusive use of Capitol Hill Travel and it will not be sold or shared with any other organization or business. 

E-mail* * required
Name*
Street Address
City
State/Province
Zip/Postal Code
Country
Home Phone


Capitol Hill Travel   rod@capitolhilltravel.com  Tel:206-726-8996  Fax:206-388-4727
Mailing Address: 410
Broadway East #110, Seattle, WA  98102
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