Travel Specialists, Inc.     1660 S. Hwy 100, Ste. 105 • St. Louis Park, MN 55416 • Phone: 952-544-1151 • Fax: 952-544-0597 LEISURE PROFILE FORM:   (Confidential)       Required*

First Name*____________________________       Last Name *_______________________________    Address 1 ____________________________       Email Address* ___________________________    Address 2 _____________________________ City _________________________   State/Province_______________   Zip/Postal Code ________             Day Phone ______________________       Evening Phone _______________________                         Best time to call:   Day       Evening                         Have you used Travel Specialists before?   Yes       No                                                        Your Vacation Start Date:   Month _____________   Day ______   Year ______     Number of Nights ________ When are you planning to book your vacation?   Undecided     Immediately                       Within one week     Within 30 days     Within 60 days What airport are you departing from? _______________________________ Please include airfare in my quote       Please include travel insurance in my quote                                                                     (to protect my investment if I am unable to travel)                                                        Travelers                         Adults ________                     Children ________ Please tell us about the travelers for this vacation. Be sure to enter traveler names as they appear on government-issued ID. While the age fields are not required, we may be able to get special rates based on age (i.e. child rates, senior rates).       Traveler 1 Name ________________________       Age 1 __________       Traveler 2 Name ________________________       Age 2 __________       Traveler 3 Name ________________________       Age 3 __________       Traveler 4 Name ________________________       Age 4 __________       Traveler 5 Name ________________________       Age 5 __________       Traveler 6 Name ________________________       Age 6 __________ Questions & Comments _________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________     Travel Specialists, Inc.