Bayless Travel - Refining the art of travel since 1936

These questions are to help us better serve you by understanding your tastes and preferences. We do not share client information with any other business or entity.

Name

Full name of Spouce or Partner

If children are attending, list each name and age:

Name: Age:
Name: Age:
Name: Age:
Name: Age:

Address

City

State
AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip

E-Mail

Preferred Airline Carrier
Select One ------------------------------------- American Delta United Southwest Northwest KLM British Airways Lufthansa Continental Other

Seating Type
Select One ----------------------------------- No Preference Coach Window Coach Aisle Business Window Business Aisle 1st Class Window 1st Class Aisle

Frequent Flyer Account Numbers
1.
2.
3.

Countries Visited

Favorite Destinations

What do you like to do while traveling?

Preferred Accommodation Level

How would you prefer to communicate with travel agents?
Phone E-mail In Person

Rate 1 through 5 how relevant the following statements are to your travel preferences. 1 being most relevant and 5 being least.

Time is my most valulabe asset
1   2   3   4   5

I want 5-star luxury
1   2   3   4   5

I demand dependability
1   2   3   4   5

I just want a good deal
1   2   3   4   5

I am very concerned about security
1   2   3   4   5

I want to be involved in every detail of the planning process
1   2   3   4   5

I'll tell you where I want to go. Then you take care of the details
1   2   3   4   5

I prefer traveling Independently
1   2   3   4   5

I prefer pre-packaged group tours
1   2   3   4   5

I would prefer to travel with a private guide
1   2   3   4   5

Other pertinent information: