Mr.     Ms.     Mrs.       Full Name:  

Street Address:  

City:       State:   choose a state: -------------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming International       Zip/Code:  

E-mail:       If outside USA:  

Phone #  ( ) -

Fax #  ( ) -

Number of people in your party?         Males:   Females:  

If there are children in your party, what are their ages?

Special Needs? Please explain:  

In what area will you be staying? (If you need help in choosing a hotel - please let me know)

Dates and times of interest, e.g., 01/22/01 and 11:00a to 4:00p

Day #1:  
Day #2:  
Day #3:
Day #4:  
Day #5:  
Day #6:
Day #7:

Indicate how you would like to spend your leisure time. Feel free to note specifics.
(Please allow at least two weeks to ensure that you "See Chicago Your Way".)

Art:

Chicago Architecture:

Chicago History:

Conservatories/Botanical Gardens:  

Dance:

Ethnic:

Kids Stuff:

Museums:

Music:

Nightlife:

Religious:

Theatre:

Zoos:

Other:

Special exhibits/
events, you’d like to see:  

If you need help, have questions or comments:    

And finally; how did you find , see Chicago your way™? Google Other Search Engine Referral Direct Mail Other Source

If Other Search Engine or Other source, please indicate