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If you are interested in travel, please fill out the following form, and then click the submit button. Name, email, and comments are required, as indicated by the *. The information that you enter will automatically be emailed to me.

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* Name: *Email Address: Male Female   Age: -Choose one- under 20 21-30 31-40 41-50 over 51   My Income: -Choose one- under 20K 21K-30K 31K-40K 41K-50K over 51K You have traveld to: (Choose all that apply) USA South West Mexico Canada South America Central America Europe Asia India You would like to travel to: (Choose all that apply) Mexico     USA     Central America Asia Africa Europe India     Other *Comments/Questions

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