Piggly Wiggly Travel Club
Member Profile Form

Please take the time to fully complete this form, if you wish to receive more information about the "PFC Travel Club".

All vacations are backed by the ® "Best Price Guarantee".

Name Mr. Mrs. Ms.
PFC Membership Number

Street Address

City
State ZIP

Phone
Home: Work:

E-Mail Address

Additional Travelers

Vacation Type:

Estimated Departure Date:
First Choice: Second:

Age
Under 30
31 to 45
46 to 65
Over 65
 		Life Cycle
Single
Married
Young Family
Retired
 		Trip Budget
Under $1000
$1001 to $2000
$2001 to $3000
Over $3000
 		Trip Duration
3-4 Days
5-7 Days
8-14 Days
Over 14 Days


Interests
Arts & Culture
Architecture
Cruise Vacation
Family Holiday
Golf & Tennis
Hiking/Walking
Water Sports
 		.
Spas/Fitness
Fine Dining
Bicycling
Gambling
Skiing
Sun & Sand
Theatre
 		Destinations
Africa
Alaska
Asia
Australia
Canada/USA
Caribbean
Central America
 		.
Europe (East)
Europe (West)
Hawaii
Continental US
Middle East
South Pacific
South America

Any additional comments please let us know. Thank you for taking the time to complete this form and for making Piggly Wiggly and The Travel Management Group/ Your Number One Choice!!

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