First Name:
Last Name:
Address 1:
City:
State/Province:
Zip Code:
Country:
Email Address:
Home Phone:
Age range:
Select one
-----
under 25
26 to 35
36 to 45
46 to 55
56 to 65
66 to 75
over 76
Income range:
$20,000 or less
$20,001 to $40,000
$40,001 to $60,000
$60,001 to $80,000
$80,001 to $100,00
$100,000 or more
How many children will travel with you, if any?:
one
two
three
four
more than 4
none
When do you plan to visit:
Select one
----------
January
February
March
April
May
June
July
August
September
October
November
December
How long to you plan to stay:
Select one
----------
I will not stay over night
one day
two days
three days
4-7 days
8-14 days
15 or more days
Have you ever visited the Waskesiu Area before?:
If you have visted Waskesiu before, when was the last visit?:
Select one
----------
In the past 30 days
In the past 1-6 months
In the past 6-12 months
In the past 1-2 years
Over 2 years ago
What are your top three reasons for visting Waskesiu?:
How did you learn about Waskesiu?:
Friend and Relatives
Previous Trip
Internet
Tour/guide books
Travel Agent
Radio
Television
Brochures
CAA
Magazines
Newspaper
Direct Mail
Do you make reservations on-line?:
Prince
Albert National Park communicates in a range of formats. Canada Post distributes
much of our material, but some is distributed only electronically (via e-mail),
by facsimile, or by telephone. We will only contact you via the means that
you authorise - and will make information available in as many forms as
possible - but we cannot guarantee that all information will be available
in all forms. If you grant us permission to use any form of communication,
we will be able to keep you apprised of all information. Of course, we will
do our best to prevent contacting you with more than once with the same
message .
Your Personal Profile :
I am a member of: :
Prince
Albert National Park periodically sends information to interested members
of the public. To manage the volume of information we send, please tell
us which distribution lists you would like to be included on. Please note
that not all mailing lists will be active in the next two years.
Check all that apply:
Other:
Are you interested in participating in park surveys?:
In accordance with Canada's Personal Information Protection and Electronic Documents Act, Parks Canada will only use this information to contact you for the purposes you specify. Your personal information will be kept in a secure location, and will be discarded in January 2008, unless you advise us that you would like to remain on our list for longer, or until you advise us that you would like to be removed from our list. If you have any questions about the use of this information, please contact Carla Flaman .
