| Although we require your name, E-mail address, and phone number we only do so for verification. This form only allows us to enhance our services and sharpen up in areas that need it. All information is confidential. Thank You, Skydive Delmarva, Inc.
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| *First
and Last Name: |
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Skydive Delmarva, Inc.
Laurel Airport
RD 5, Box 7C3
Route 24 West
Laurel, DE 19956
302-875-3540 or 1-888-875-3540 manifest@skydivedelmarva.com
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| *E-Mail Address: |
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| *Phone: |
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| *How did you find out about us: |
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| *Please be specific: |
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| *Instructor's Name: |
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| 2nd Instructor's Name (If applicable): |
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| Videographer's Name (If applicable): |
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| On a scale of 1 (poor) to 5 (excellent), please rate the following: |
| *Your jump: |
Poor: 1 2 3 4 5 Excellent |
| *Our facility: |
Poor: 1 2 3 4 5 Excellent |
| *Manifest staff, helpfulness, friendliness, etc.: |
Poor: 1 2 3 4 5 Excellent |
| *Our aircraft: |
Poor: 1 2 3 4 5 Excellent |
| Your class (If applicable): |
Poor: 1 2 3 4 5 Excellent |
| *Your instructor: |
Poor: 1 2 3 4 5 Excellent |
| *Quality of his/her instruction, friendliness, demeanor, presentation, appearance, etc.: |
Poor: 1 2 3 4 5 Excellent |
| Your 2nd Instructor (If applicable) |
Poor: 1 2 3 4 5 Excellent |
| Quality of his/her instruction, friendliness, demeanor, presentation, appearance, etc.: |
Poor: 1 2 3 4 5 Excellent |
| Your videographer: |
Poor: 1 2 3 4 5 Excellent |
| The quality of your video: |
Poor: 1 2 3 4 5 Excellent |
| *Your overall experience: |
Poor: 1 2 3 4 5 Excellent |
| *Your overall comments about our facility, staff, your experience, recommendations, suggestions, etc.: |
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| *May we use your comments in our testimonials section of our website?: |
Yes: No: |
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* Required Information |
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