First Name *
Last Name *
Mailing Address *
 
City *
State *
Zip Code *
Email address *
Phone Number *
Date of Birth * mm/dd/yy
Gender Male Female
Have you skied or ridden Ski Butternut in the last 2 years? * yes no

If so, number of times you visited Ski Butternut last year:

Total # of days you anticipate skiing/riding at any mountains this year? *

Are you currently a Ski Butternut Season Pass Holder?*
Yes   No

Do you own a season pass to any other mountain? If so, please select the mountain by state & name.*


Can we send you special money saving offers & announcements about Ski Butternut via eMail?*
Yes No


Skiing Ability: *

Riding Ability: *

Ski Areas you visit most & Why?
(own lodging nearby, season pass, like the trail mix, etc..)
1.
2.


I plan to take a skiing/boarding trip out WEST in the next 2 years:
Yes No

Check all that apply:
I usually ski/ride:
Midweek/Non-Holiday Yes No
Weekends & Holidays Only Yes No
If a midweek deal is good enough I'll play hooky from work/school Yes No
I ski/ride mostly at night Yes No
I only think about skiing/riding after a snowfall Yes No

Tell us about yourself:
Marriage Status:
Children 15 & Under at home? Yes No

Mail me a Ski Butternut brochure next season.
Yes No

I want this years brochure mailed now.
Yes No

I am interested in:
Programs for children 4-12 years old
Programs for Women only
Group Lessons for Adults
Private Lessons for Adults
Kids Racing programs
Adults Racing programs
Anything Snowboarding
Family style FUN special events
Employment at Butternut
Group rates for 20+

Do you own your own skis?
yes  no
   If so, how old are your skis?
Do you own your own snowboard?
yes  no
   If so, how old is your snowboard?
Other: Please tell us what you are looking for or want:


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