120 N. Main Street * Suite 120 * West Bend, WI 53095

262-335-9990  *  800-376-9990  *  Fax 262-335-9970
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Is there a vacation package you would like to see? Tell us what you consider the perfect vacation and we'll do our best to put it together for you.

Last Name    First Name   Ph#

Address    City   State   Zip

Your email address

Where would you like to go?     Country:

How many people?    How many rooms?     Need airline tickets?  YES    NO   How many?

Do any members of your party require handicap access or accommodations?  YES    NO

Do you require a smoking room? YES    NO

When would you like to leave?  Month   Day    Year

When would you like to return? Month   Day    Year

Vacation Itinerary - List the 3 most important elements of your vacation:
#1        #2       #3  

Did we miss anything? Please let us know:
 

Additional Comments



                                                              


 


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