First Name

Last Name

Email Address

Street Address

City

State

Zip

Age

Gender
Male:    Female:

Yearly family income?
Please select a value Unemployed Teenager Starving Student Up to $10,000 $10,000 to $30,000 $30,000 to $50,000 $50,000 to $70,000 $70,000 to $90,000 $90,000 to $110,000 $110,000 to $150,000 $150,000 to $200,000 Over $200,000

How many children under 18

Do you plan on traveling with your: Kids    Grand kids

How did you hear about our service?
Please select a value Internet Friends Newspaper Catalina Visitors Guide Radio TV Other

Is this your first trip to Catalina Island
Yes:    No:

If no to above, when was your last visit to Catalina Island?
Please select a value Less Than 6 Months 6 Months to 1 Year 1 Year to 2 Years 2 Years to 5 Years 5 Years to 10 Years 10 Years to 15 Years 15 Years to 20 Years 20 Years to 30 Years 30 Years to 40 Years

How long do you plan to stay on Catalina Island?
Please select a value 1 Day 2 Days 3 Days 4 or More Days

Keep me current on Catalina Island

First 2 letters of the email address are deleted for winners security

January 2009

Lin - do@umich.edu and Twylah - twylahroix@kp.org

February 2009

Alicia - irgo@uci.edu and Anton - antonler@kabelbw.de

March 2009

Sharon - Scole@socal.rr.com and Stacy - stro03@uwosh.edu

April 2009

Danielle - danielle.rich@usmc.mil and erma - glass@centurytel.net

May 2009

Matthew - Matt@ironmountain.com and Sharon - sharon_lett@yahoo.com

June 2009

Angela - forcf@yahoo.com and Lloyd - lnj2@dslextreme.com

July2009

Jennifer - photjenn@yahoo.com and Jeffrey - sickstring@embarqmail.com

August2009

Maria - santiago@sbcglobal.net and Bartholomew - barty10@yahoo.com