Death Factor
Rating - Xtreme
Xtremania Client Input Form
1. Business Name
2. Business Street Address
3. Business Suburb
4. Business City/Town
5. Business Region
6. Business
Country
7. Business Post/Zip Code
8. Business Location Other
9. Business Phone Number
10.
Business Fax Number
11. Contact Name
12. Business Owner Name
13. Mobile Phone Number
14. Business
Email Address
15. Web Site Address URL
16. Twitter Address URL
17. Facebook Address URL
18. RSS Feed URL
19. Blog URL
20. Youtube Channel URL
21. How many years in Business
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9
10
Over 10
22. Have you been involved in
22.
any law suits with customers
Yes
No
23. Amount of Public Liability
Insurance
24. Upload copy of Public Liability
Insurance certificate
25. Notes
Activity Input Form
Number of Activities you would like to list?
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10
Activity Number 1 -
A. Activity Type (Short)
B. Activity Category
ADVENTURE
TOURS
HOILDAY
EVENT
FESTIVAL
WEDDINGS
HONEYMOONS
C. Header Text
(under 50 characters)
D. Short Description
(max. 500 characters)
E.
Long Description
(max. 5000 characters)
F. Upload activity picture
(under 2 mb)
G. Is this activity Disability
Assisted or can you accomodate
people with Disabilities?
Yes
No
Contact us
H. Activity Times?
(24 hr military time)
Open Months
Open Days
Open Hours
All time
Range
Start
Jan
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End
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Select
Jan
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Apr
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Dec
All time
Range
Start
Mon
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Sun
End
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Sat
Sun
Select
Mon
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Sat
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All time
Range
Start
00:00
00:30
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23:00
23:30
End
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01:00
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23:30
Select
00:00
00:30
01:00
01:30
02:00
02:30
03:00
03:30
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04:30
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05:30
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18:30
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19:30
20:00
20:30
21:00
21:30
22:00
22:30
23:00
23:30
Add another time
I. Activity Duration?
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Days
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Hours
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59
Minutes
J. Experience Required?
No
Yes
K. Customer Retail Price?
Local Currency
L. Your Wholesale Price?
Local Currency
M. Customer Discount Price?
Local Currency
N. Is this a Special Offer?
(Only click Yes if this is a short term Special Offer on top of the regular Discount Price)
Yes
No
