First name:			Last name:
Address1:			Address2:
City:			State/prov.:			Please select one Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachussets Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Nothwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington Wisconsin Wyoming Yukon West Virginia
Zip code:			Country:			Please select one USA Canada
E-mail address:
PLEASE HELP US TO IMPROVE OUR SERVICE BY ANSWERING THE FOLLOWING QUESTIONS:
(1) Have you ever traveled in Europe?			Please select one yes no
(2) How many times have you been to Italy?			Please select one never been 1-2  times 3-4  times 5 or more times
(3) The main purpose of your trip:			Please select one vacation visit friends, relatives business study other
(4) Yuor age:			Please select one under 16 16-24 25-34 35-44 45-54 55-64 65 and over
(5) Your education:			Please select one High School College University Post graduate other
(6) Your annual household income:			Please select one less tha $25,000 $25,000-$49,000 $50,000-$74,000 $75,000-$99,000 $100,000 and more

The purpose of these questions is to better serve you; be assured that we will not reveal any information you provide to us to any other organization.