Questions marked with an asterisk (*) are mandatory.

Please fill out the group information form and one of our Pleasant Group Representatives will be in touch with you within 24 hours.

1	* Choose Destination: Hawaii Mexico Costa Rica Caribbean USA Other, Please Specify

2	Group Name:

3	* Group Contact Name:

4	* Type of Group: Leisure Group Special Interest Group Corporate Meeting Incentive Program Youth Group Association Wedding Group Other, Please Specify

5	ARC/IATA/Pleasant ID Number: (Agents only)

6	* Daytime Phone Number:

7	Name and Address: Name Company  Address City State AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NU NV NY OH OK ON OR PA PE PQ RI SC SD SK TN TX UT VA VT WA WI WV WY YT Zip

8	* E-Mail:

9	* Number of Passengers: (Minimum Hawaii:25, Mexico:16, Caribbean:16) For groups less than the minimum, please call 1-800-742-9244.

10	How much has the group budgeted for the trip?

11	Has the group traveled with Pleasant Holidays before?

12	Is the group prepared to put up a deposit to secure space?

13	Have you received a quote from another source for this group?