Complete the information below for your chance to win an overnight stay package at either
The Mansion on Delaware, Buffalo, NY or the Keefer Mansion, Thorold, ON.

Name:
Street:
City:
Prov./State:
Postal Or Zip Code:     Country:
Phone:
Email:
Income Range:
$0 - $25,000    $25,000 - $50,000    $50,000 - $75,000    $75,000 - $99,000    $100,000+
Age:
18-24    25-34    35-44    45-54    55-64    65-74    75+
Gender:	Female    Male
Please tell us how you found out about this Binational Shop, Stay & Play promotion: (please check all that apply)
Binational Shop, Stay & Play Guide
	Hotel Airport Travel Center Newspaper Shopping Site Cultural/Event
CKTB Radio Show    WECK Radio Show    Newspaper Ads
Website     Which website
Other         (please specify)
May we email you with information/incentives from The Binational Tourism Alliance and the 2009 Binational Christmas Shopping & Entertainment Guide partners?
Yes        No
The information that you are providing us is for the use of the Binational Tourism Alliance and the partners in this promotion and will follow the privacy guidelines of Canada and the U.S.