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* First Name:

* Last Name:

Company:

* E-Mail:

Phone:

IATA Number:

 

* denotes required field.

Address:

Suite/Apt:

City:

State:

Province (if applicable):

Country:

Zip Code/Postal Code:

 

 

Does your agency primarily focus on which of these types of vacation ? (pick three)
Adventure
Spa/Health
Golf Vacations
European Packages
Single Getaways
Family Packages
Romantic Getaways
Gaming/Casinos

Does your agency sell mostly:

Is your clientele:

How many people are employed by your agency:

 

Would you be interested in attending an R Family Vacations educational seminar?
Yes No

Would you be interested in receiving R Family Vacations’ sales tools?
Yes No

If so, what is most helpful to you?
Web Site
Brochure
DVD
Other (please detail below)

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