* = Required Information ** = Required Information for United States & Canada Only
Salutation
Mr.
Mrs.
Ms.
Miss
Dr.
Prof.
First Name *
Last Name *
Company Name *
Job Title *
Address 1 *
Address 2
City *
State/Province **
Zip/Postal Code *
Country *
United States
United Kingdom
Canada
Germany
France
Italy
Japan
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
British West Indies
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic Peoples Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Leeward Islands
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Madeira Island
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Miquelon Island
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Suriname
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Spain
Sri Lanka
St. Kitts
St. Pierre Island
Sudan
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-Leste
Tobago
Togo
Tokelau
Tonga
Trinidad
Tunisia
Turkey
Turkmenistan
Turks Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, U.S.
Wallis And Futuna
Western Sahara
Windward Islands
Yemen
Zambia
Zimbabwe
E-mail * (Please check your e-mail address for accuracy.)
Phone Number *
Fax Number
Which of the following best describes your role in relation to travel? *
-------Select one from below------
A business traveler who plans your own trips
A business traveler whose trips are planned by someone else
A travel arranger
A travel agent
A company in-house travel manager
Wholesaler/Agent/Reseller
Leisure traveler
On average, how many trips do you plan/take during a year? *
-------Select one from below------
1-5
6-10
11-20
21+
Are the trips mainly – *
-------Select one from below------
To one destination, flying there and back
To more than one destination, that is a multi-leg journey