Online Survey

* Online Survey Reference Number:

* Name:

* Address:

* City:

* State:

* Postal Code:

E-mail address:

I would like to be added to the e-mail newsletter list Yes

Phone Number (Home):

Phone Number (Work):

Best place for us to reach you: Home Work

Best time for us to call:

Do you know of any unresolved problems? If you do please outline the details below. This way we can research them and be prepared when we call you:

Please let us know of any comments or suggestions you have in regard to the way we conduct our business:

Comments or suggestions about our new website www.awrafts.com:

My 2008 Whitewater plans are:
Trip 1 (Check to reserve. You will then receive a confirmation requesting your deposit(s).)

River:

Date:

Number of People:

Trip 2 (Check to reserve)

River:

Date:

Number of People:

We do not plan to raft in 2008.

(We would appreciate it if you shared your reason for not rafting with us:)

I would prefer not to receive Appalachian Wildwaters' courtesy call.

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