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Membership Form
The following questions will help us provide services that best suit your needs. Thank you for your assistance!
Required questions are denoted by (*)
Preferred e-mail format (for the Level Travel newsletter)*
HTML (graphics intensive) Text-Only (no graphics)
How did you hear about Level Travel?
Television Radio Magazine Newspaper Internet Association / Club Word-of-Mouth Other
Which of the following types of information are the most interesting to you? Information for individuals with a (check all that apply)
Mobility Impairment Visual Impairment Mature Traveler (Age 55+) Hearing Impairment
Age
15 - 20 21 - 35 36 - 45 46 - 55 56 - 65 66 - 75 76+
What type of accessibility information are you interested in? (check all that apply)
Hotel Restaurant Other
Hotel
Restaurant
Other
How many times a year do you travel?
Select 1 - 2 3 - 5 6 - 10 10+
Which city(s) will you most likely travel to within the next year?
Atlanta New York Boston Orlando Chicago Philadelphia Las Vegas Phoenix Los Angeles San Francisco Miami Washington, DC New Orleans Other
