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First Name
Last Name
Company Name
Position	Retail Owner/Manager\nRetail Travel Agent\nHome-Based Agent\nAdministrative\nSupplier\nPublic Relations\nOther\n
Email Address
State/Province	Please Select AK\nAL\nAR\nAZ\nCA\nCO\nCT\nDC\nDE\nFL\nGA\nHI\nIA\nID\nIL\nIN\nKS\nKY\nLA\nMA\nMD\nME\nMI\nMN\nMO\nMS\nMT\nNC\nND\nNE\nNH\nNJ\nNM\nNV\nNY\nOH\nOK\nOR\nPA\nRI\nSC\nSD\nTN\nTX\nUT\nVA\nVT\nWA\nWI\nWV\nWY\nAB\nBC\nMB\nNB\nNL\nNS\nON\nPE\nQC\nSK\nOther\n	Phone Number		-   -
Submit One: ARC# (optional)		CLIA#		IATA#
Which of the following cruise lines do you expect to sell the most in 2010?				Please Select Carnival Cruise Lines\nCelebrity Cruises\nCosta Cruises\nHolland America Line\nNorwegian Cruise Line\nPrincess Cruises\nRoyal Caribbean International\n
Which of the following luxury cruise lines do you expect to sell the most in 2010?				Please Select Azamara Club Cruises\nCrystal Cruises\nCunard Line\nOceania Cruises\nWindstar Cruises\nOther\n
Approximately how many group cruise bookings did you sell in 2009? (group is 8 cabins or more on the same sailing)				Please Select None\n1 to 5\n6 to 10\n11 to 15\n16 to 20\nMore than 20\n
How many cruise vacations/cabins did you sell in 2009?				Please Select Less than 50\n51 to 100\n101 to 150\n151 to 200\n201 to 250\n251 to 300\n301 to 350\n351 to 400\nOver 401 cabins\n
I would like to be registered for TravelAge West's Repositioning Sales to Escorted Tours: Tips, Benefits & Rewards event scheduled for March 24, 2010.					Yes No

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