dm-media
Online questionnaire
dm-media WebMarketing & Tourism
Sales:
sales@dmmediaweb.com
Personal details:
NAME:
FAMILY NAME:
STREET:
TOWN:
ZIP CODE:
COUNTY:
LAND:
TELEFON:
E-mail:
We cannot answer questionnaires without Email
Homepage:
Details of requested accommodation:
Holiday location:
Crkvenica
Marina
Island of Silba
Pula
Baska voda
Dubrovnik
Island of Pag
Island of Cres
Island of Hvar
Island of Rab
House No.:
Appartment/Room:
No.1
No.2
No.3
No.4
No.5
No.6
No.7
No.8
Persons
refer to price list:
1 Person
2 Persons
3 Persons
4 Persons
5 Persons
6 Persons
7 Persons
8 Persons
9 Persons
10 Persons
11 Persons
12 Persons
13 Persons
14 Persons
15 Persons
16 Persons
Arrival date:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Januar
Februar
Mart
April
May
Juni
July
August
September
Oktober
November
December
Departure date:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Januar
Februar
Mart
April
May
Juni
July
August
September
Oktober
November
December
Total number of Persons:
1 Person
2 Persons
3 Persons
4 Persons
5 Persons
6 Persons
7 Persons
8 Persons
9 Persons
10 Persons
11 Persons
12 Persons
13 Persons
14 Persons
15Persons
16 Persons
nicht enthalten
Of which are children:
less than 18 Years:
1 Child
2 Children
3 Children
4 Children
5 Children
NONE
less than 12 Years:
1 Child
2 Children
3 Children
4 Children
5 Children
NONE
less than 4 Years:
1 Child
2 Children
3 Children
4 Children
5 Children
NONE
PETS:
YES
NO
If "YES" which sort:
Small dog
Big dog
Cat
Other
Boat mooring:
YES
NO
ALTERNATIVE:
Holiday location:
Crkvenica
Marina
Island of Silba
Pula
Baska voda
Dubrovnik
Island of Pag
Island of Cres
Island of Hvar
Island of Rab
House No.:
Appartment/Room:
No.1
No.2
No.3
No.4
No.5
No.6
No.7
No.8
Feedback:
Travelled with dm-media before?:
YES
NO
COMPANY:
YES
NO
COMPANY NAME:
How did you find us:
please describe keywords, searchmachine, link etc..
Your Comments: