First Name Last Name Address City State Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Postal Code Email Address Which promotion are you interested in? Shop-A-Saurus Shopping Spree Getaway Both Promotions How did you learn about this offer? Please check all that apply. WebsiteNewspaper Direct MailReferral E-mailOther Magazine If other, please describe: How many weekend getaways do you take each year? Less than 1 1 - 5 More than 5 Who do you take weekend getaways with? Please check all that apply. Spouse / Significant Other Children Parents Grandparents / Other Relatives Friends Business Associates How far (in miles) are you willing to drive for a weekend getaway? Please select the top 3 that are most important to you when taking a weekend getaway. Shopping Dining Fitness Center Spa Golf Cultural Attractions Nearby Theater Pool Room Rate Time of Year/Season Other If other, please describe: Of the six Hotels of Oak Brook, which one(s) are you most interested in? Doubletree Hotel Chicago Oak Brook Hyatt Lodge at McDonald's Campus Oak Brook Marriott Hotel Chicago Oak Brook Renaissance Oak Brook Hotel Residence Inn by Marriott Oak Brook Wyndham Drake Hotel Oak Brook