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2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Country (If not USA)
13. Zip or Postal Code*
15. How did you learn about Pontiac?

    1. Friend or Family
    2. Newspaper or Magazine
    3. Television
    4. Travel Web Site
16. When do you plan to visit us?

    1. Within 30 days
    2. Two or three months from now
    3. 6 months to a year from now
    4. Next year or later
18. What We Send
    Once we receive your completed Information Request Form, we will mail a literature package that will include: 1. Illinois Route 66 Visitors Guide 2. Pontiac Illinois Visitor Guide 3. Downtown Pontiac Map with Attractions 4. Pontiac Hotel Guide 5. Pontiac Restaurant Guide 6. Pontiac Museums Brochure 7. Pontiac Mural Tour Brochure 8. Abraham Lincoln Tour Brochure 9. Pontiac Charm Trail Brochure Please allow time for shipping.
19. If you would like to receive our monthly electronic newletter, please provide a valid email address here.
21. We try to fulfill all literature requests as quickly as possible. Please be patient.
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23. 1. Receive an email copy of this form.
24. Email address

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