Name

First Name

Last Name

Phone *

(###)

###

####

What are your interests?

(please select all that apply)

History and Culture

Art

Architecture

Music

Food and Wine

Cooking

Wineries

Outdoor Adventure

Hiking

Cycling

Interaction with locals

What type of accommodations do you prefer?

(please select all that apply)

Luxury Hotels

Boutique Hotels

Bed and Breakfasts

Design Hotels

Hotel Chains (Marriott, Hilton, Hyatt etc)

Private Apartment or Villa

Other

Would you like assistance with booking flights?

Yes

No

Maybe

What class of service do you want to fly?

First Class

Business Class

Premium Economy

Economy + paid extra legroom

Economy