Name

Email Address

Where Would You Like to Go?

Are You Working With a Travel Agent? Are You Working With a Travel Agent?YesNo

Would You Like a Referral to an Agent Would You Like a Referral to an AgentYesNo

Have You Booked Your Flight? Have You Booked Your Flight?YesNo

Would You Like Help With This? Would You Like Help With This?YesNo

Have You Booked Your Hotel? Have You Booked Your Hotel?YesNo

Would You Like Help With This? Would You Like Help With This?YesNo

Have You Booked Your Car? Have You Booked Your Car?YesNo

Would You Like Help With This? Would You Like Help With This?YesNo

Tell Us About Your Food Preferences (Check all that apply) Tell Us About Your Food Preferences (Check all that apply) Gluten Allergy/Sensitivity Dairy Free Vegetarian Vegan Nut Allergy Pescetarian Low Carb/Keto Meat Lover Omnivore Other (please explain below)

Tell Us About Your Beverages Preferences (Check as many as apply) Tell Us About Your Beverages Preferences (Check as many as apply) Alcohol Free Red Wine White Wine Sparkling Wine Fortified Wines/Ports Beer Craft Cocktails

Are You Interested In Food or Beverage Related Activities? Are You Interested In Food or Beverage Related Activities? Cooking and Baking Classes Farm or Other Food Production Tours Food Tours Winery Tours and Tastings Brewery Tours and Tastings Distillery Tours and Tastings Other (describe below) None

Tell Us About Your Budget Tell Us About Your Budget $ $$ $$$ $$$$ Mostly $ and $$ but I'd like one $$$$ meal/activity Mostly $$ and $$$ but I'd like one $$$$ meal/activity Combine $$$ and $$$$ meals/activities

What is Your Group Size What is Your Group Size 1-2 3-10 11-20 21 +

Is There Anything Else We Should Know?