ASKING FOR INFORMATION

Please, fill the blanks of this form to help us better attend your needs.
Use the same form to send us comments or suggestions. 


Name:

Sex:  Male Female

City:   State:   Country: 

E-mail:

Desired period of renting (day/month/year) -- From:

                                                                                     To:


To help us understand your needs, please tell us a little about the group that intend to use our house:

  • Fill the blanks with the total number or individuals in each of the following age groups?
    0 to 5 years:  6 to 14 years:  15 to 25 years:  26 to 35 years:
    36 to 60 years:  More than 60 years:

  • First visit to Florianopolis? 

  • How do you plan to reach Florianopolis? 

  • Besides of enjoying the natural beauty of the region, does your group have any other specific interest?
    Fishing   Diving     Surfing     Trail walking     Boating
    Other - describe:

    Write any comments here:

           


    • When you click the SEND button, the form will be sent attached to a E-mail message from your E-mail software.

    Any problem using this form? Please, send a message to: mmoura@infocore.com.br.