Pilot Getaways Magazine - Visitor Survey

home

subscribe

about us

current issue

previous issues

upcoming issues

advertiser info

contact us

Visitor Survey and Prize Entry Form

We'd like to hear more about people who visit our site! By filling out our visitor survey, you will automatically be entered in our prize drawings. Each month, Pilot Getaways will select a survey at random to receive a free T-shirt.

Please note that information you enter is considered confidential by Pilot Getaways and is not distributed to other companies.

Pilot Getaways Visitor Survey

If you win the drawing, how shall we contact you: Notify me by Regular Mail Notify me by E-Mail Notify me by Telephone Notify me by Fax Visitor Information: (Note: This information will NOT be distributed to other companies)
Mr/Ms	First Name	Last Name	Suffix
Mailing Address Line 1
Mailing Address Line 2
City		ST/Province	ZIP/PC
Country
Telephone + Ext.		Fax Number
E-Mail Address

How many hours do you fly annually?

Sex: M F Age:
License(s) You Hold:
None CFI A&P Student
CFII Glider Private MEI
Lighter-than-air Commercial
Single-Eng. Land Single-Eng. Sea
Rotor Multi-Eng. Land Multi-Eng. Sea Instrument

Do you:
Rent Own Fly company provided aircraft

What type of aircraft do you operate?:
Single Engine, Fixed Gear Single Engine, Retractable
Multi-Engine Piston Turboprop Turbine
Rotor Craft

What items or services do you intend to purchase or use in the next 12 months?:
Fuel Insurance Avionics Pilot Supplies
New/Used Aircraft Flight Training Fly-in Dining
Fly-in Hotel Maintenance Aircraft/Engine Upgrades

How did you
hear about us?

Comment (if any):

Note: Click the "Submit Survey" button above
to complete your form.
If you do not see a message indicating that
your survey has been submitted,
your form did not go through.
Please e-mail us at survey@pilotgetaways.com
if you have any difficulty with this survey.