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First Name
Last Name
Company Name
Position
Email Address
State/Province Phone Number  -   - 
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(optional)		 ARC# CLIA#
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Rank the following leisure travel destinations from 1 to 12 in terms of popularity and requests from your clients over the past 18 months.

(1 being most popular/most requested and 12 being least popular/least requested)
Alaska
Cancun/Riviera Maya
China/Hong Kong
Great Britain
Oahu, Hawaii
Maui, Hawaii
Italy
Jamaica
Las Vegas
Los Cabos/La Paz
Orlando
Puerto Vallarta/Riviera Narayit/Punta Mita


Do you agree or disagree with the following statements regarding Mexico?
Mexico is well positioned against Hawaii and Jamaica for product and value.

Mexico (the country) does a good job of advertising to consumers to drive business into my agency.
Mexico tour operators do a good job of advertising to consumers to drive business into my agency.
Mexico is a great vacation choice for family travelers.

The current rates for hotels in Mexico are driving business into my agency.
I expect my 2010 Mexico bookings to exceed my bookings in 2009.

My clients almost always express concern about the reported violence in Mexico.
My clients understand that reported violence in Mexico is outside of the resort/tourist areas.
 
I would like to be registered for TravelAge West’s IRELAND Connection: Ireland’s Wonderful West scheduled for Sept. 8, 2010.
How many individual leisure travelers did you book
to Europe in the last 12 months?
How many individual leisure travelers did you book
to Ireland in the last 12 months?
For your leisure travel business what is the split between
FIT and Escorted tour bookings.
(e.g: 65% / 35%. Must add up to 100%)		 FIT 
Escorted 
What percentage of your leisure bookings are for
group travel (10 passengers or more on the same
itinerary/departure date)
What is the approximate sales volume at
your agency location or home-based business?
Are you a current Shamrock Agent?
If Not, can we send you information on the Shamrock Agent program?