Name :
Company Name :
Street Address :
City :
State/Province :
Zip/Postal Code :
Country :
Phone Number :
Fax Number :
E-mail
Address :
Website :
I AM INTERESTED IN
THE FOLLOWING ATTRACTIONS OR SERVICES:
SHANKZ Black Light Mini-Golf ?
Yes
No
BALLADIUM Ball Blaster Systems ?
Yes
No
FANTASY Miniature Golf & Supplies ?
Yes
No
ART ATTACK Facility Design / Theming ?
Yes
No
SUPERKIDS Play Systems ?
Yes
No
ALLEY TRAX Mini Bowling ?
Yes
No
TimeFREAK?
Yes
No
I am requesting info for :
An
indoor fun center
An
outdoor fun center
A
combined indoor/outdoor facility
Is this for a commercial venue ?
Yes
No
Is this an existing facility ?
Yes
No
I plan on opening within :
6 Months
6 Months - 1 Year
1 - 2 Years
I have a location secured :
Yes (see
below)
Close to signing a lease
Still searching
Not that far yet
If you answered Yes above, what is the size of the facility in square feet? :
My estimated overall facility budget is :
Under $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000+
My primary target market is :
FEC (Family Entertainment
Center - All Ages)
CEC
(Children's Entertainment Center - Ages 2 - 12)
Please tell us how you heard about us :
Additional Questions or Comments :