A Signature Collection

Name*
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail*
What month do you plan to travel	March April May June July August September October
What year do you plan to travel	2008 2009 2010
Destination	Ireland Italy Czech Republic Austria Croatia Slovenia France UK Wales
Preferred Region	Connemara Burren West Coast Extra Kerry Veneto Dingle Penninsula Umbria
Type of tour	Guided Self Guided Family Adventures
Type of accommodation	Romantic Castles Guesthouses (Inns) Private Hotels Classic Mixed Country House Hotels City Boutique Hotels
Bringing own bikes	Yes No
Number of children in group	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 0
Number of adults in group	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Cycling Experience	Beginners Intermediate Experienced Mixed beginners / intermediate Mixed intermediate/experienced
Anticipated arrival date in Ireland	-- mm/dd/yy
Anticipated departure date from Ireland	-- mm/dd/yy
Do you plan on additional travel in Ireland prior to, or following your bike tour?	Yes No
How many additional days?	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Would you like additional activities to be included as part of tour?	Yes No
Choose one of the following options:	None Horse riding Fishing Golf Spa & Health Walking Kayaking Surfing Archaeology Sailing Surfing Scuba Diving
Do you have any comments or suggestions to add that will assist us in planning your trip?