Salutation
Title
First name:
Surname:
Street:
(Additional) Address
Postcode:
Town/city:
Country:

Optional information:

We always make an effort to extend our offer to suit your requirements. Please help us to do so by taking just a moment to answer the following questions. All of the details are, of course, provided voluntarily.
Telephone:
Telefax:
Mobile:
EMail:
   
  Do you plan to buy a motorhome or caravan in the near future?
No
Yes, in the next 6 to 12 months
Yes, in the next 12 to 24 months
   
  Do you have any camping experience?
I have been going on camping holidays for several years now.
I used to go on camping holidays and would like to start doing so once again.
I have absolutely no experience when it comes to this kind of holiday.
   
  Do you already own a leisure vehicle?
No
Caravan
Motorhome
   
  If you already own a caravan or motorhome, which make (brand) of vehicle do you own?
 
   
 
Your age group?
20-35 years
36-45 years
46-55 years
> 56 years
   
 
Which size of household applies to you?
Single household
Couple, no children
Couple with one child
Couple with two children
Couple with three children
Couple with more than three children
   
* I herewith agree with the information on data protection.
A) only for the purpose of the catalog order (A)
B) catalog order and dealer contact(A und B)
C) catalog order, dealer contact and more information (A, B und C)
   
 
 

* Information on data protection A, B, oder C
All of the indicated prices refer to Germany