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| Age: | |
| Address: | |
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| Phone Number: | |
| Fax Number: (optional) | |
| Email Address: |
By adding your email address, you are indicating a willingness to receive occasional emails from Silverton Mountain. We do not give out your email address to Anyone, and you can unsubscribe at any time. |
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| Are You A: | Skier / Boarder / Both |
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| Rate the following on a scale from 1 to 5 (5 being most important) |
| Price of Lift Ticket | 1 2 3 4 5 |
| Price of Lodging at the Resort | 1 2 3 4 5 |
| Backcountry Skiing Accessibility | 1 2 3 4 5 |
| Extreme Terrain | 1 2 3 4 5 |
| Small Crowds | 1 2 3 4 5 |
| Powder/Snow Conditions | 1 2 3 4 5 |
| Night Life | 1 2 3 4 5 |
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| What price do you consider to be reasonable for lift accessible skiing/boarding? | |
| Have you skied/boarded in the backcountry this year? If so how many times? | |
| How would you rate your knowledge of the backcountry? |
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| Do you own any of the following? |
Avalanche Beacon
Backcountry Shovel
Backpack
Avalanche Probe
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| Do you have an interest in taking classes in: |
Avalanche Education
Mountaineering
Mountain Survival and Rescue
Wilderness medical training
Extreme Skiing/Boarding
Snow Cave building
Green home building
River restoration
Adventure writing
Photography
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| Do you have any interest in Heli-skiing or cat-skiing? | Yes No |
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| Income (Please check one) |
up to $15,000
$15,000-$25,000
$25,001-$35,000
$35,001-$45,000
$45,001-$55,000
$55,001-$65,000
$65,001-$75,000
$75,001 and up
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| How did you hear about Silverton Mountain? |
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| Do you purchase online? | Yes No |
| Would you like to be able to purchase ski lift tickets on line? | Yes No |
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| Any comments about what we are doing and what you want to see? |
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