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Today is Thursday, Sep. 02, 2010
72º Fair
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Vacation Planner

Send me your Vacation Planner.

I understand that I must fill out the questionnaire completely to get the publication sent to me.

NOTE: Use the tab key to move from field to field and make sure to press the "order" button at the bottom of this page when you're done!

All Red Fields are Required
Title
Mr: 
Mrs: 
Ms: 
Name
First Name: 
Init: 
Last Name: 
Contact Info
Address: 
City: 
State: 
Zip: 
Country if other than US: 
Email Address: 
Birth Date
Pick a Date:   (mm-dd-yyyy)
Marital Status (Optional)
Single: 
Married: 
Widowed: 
Divorced: 
Income (Optional)
0-25,000: 
25,001-50,000: 
50,001-75,000: 
75,001-125,000: 
125,000+: 
Number of Vacation/GetAways taken per calendar year
0: 
1: 
2: 
3: 
4: 
5: 
5+: 
Number usually in your travel party
0: 
1: 
2: 
3: 
4: 
4+: 
What do you look to do on vacation
Relax: 
Golf: 
Tennis: 
Winter Sports: 
Shopping: 
Sightseeing: 
Walking/Hiking: 
Birding: 
Other: 
Season(s) when vacations were taken
Winter: 
Spring: 
Summer: 
Fall: 
What type of accommodations do you prefer
Luxury Resorts: 
Condos: 
Golf Resorts: 
Moderate Priced: 
Value Priced: 
Bed 'n Breakfast: 
Camping: 
Are there areas for which you would like specific lodging information
Brunswick: 
St. Simons Island: 
Sea Island: 
Little St. Simons Island: 
Jekyll Island: 
All: 
I have heard of Brunswick & the Golden Isles before I saw it on the Internet
Yes: 
No: 
I found your internet site through
An ad in/on: 
An article in/on: 
A link from: 
A web search through: 
Other: 
What would make you visit Brunswick & the Golden Isles if there were another place with similar amenities
Proximity to Home: 
Price: 
Better Amenities: 
Recommendation of a friend: 
Other: 

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