Contact Information:
First Name:

Last Name:

E-mail:

Street Address:

City:

State/Province:

Postal Code:

Country:

Home Phone:

What activities do you or your children participate in?

Which other resorts are you considering for purchasing real estate?

How many times a year do you visit Halcyon Hot Springs?

How likely are you to make a real estate purchase in the next 6-12
months?

Where did you hear about Halcyon Hot Springs (for example: friends or
family, newspaper advertising, real estate office)?:

Would you like a Halcyon Hot Springs representative to contact you
personally regarding current development? yes no

Questions, comments, or suggestions: