___ TYPE OF BUS OWNED:

___ GMC MCI Eagle Prevost VanHool Dina School

___ Other: Specify _

___Model: xxx Year:

___Type Engine: Detroit 6V71 6V92 8V71 8V92 Series

___Other: List make & Size:

___Transmission Type: Standard Automatic

___Make & Model if Known

___Years Converted: xxHow long to convert:

___ Self Convert Professional Convert Both Self & Professional

___Percent of Conversion You Did Yourself

___Hold Tank Size: xGrey: xBlack: xGrey/Blk:

___Tank Material: Poly Steel Fiberglass xxOther:

___Type & Size of Generator:

___ All Electric? 3 Way (propane, 12 Volt & 110 Volt)

___How Many Days of the Year Do You Use Your Bus?

___ Under 7 Days 7 to 14 Days 15 to 30 Days

___ More:

___How Many Trips A Year Do You Make?

___ 1-3 4-6 15 to 30 More:
___
___How Many Miles per Gallon Do You Get?

___How Much Money was Spent on the Bus?

___How Much Money was Spent on the Conversion?

___Total Amount of Money in the Bus?

___How Much Money Will You Spend On Your Coach This Year?

___ $1,000 $1K to $3K $3K to $5K $5K to $7K $7K +

___What Components are You Looking to Purchase in Future?

___ New Unit Engine or Transmission Appliances Remodel

___ Electrical Items xxxOther:

___Employed? Full Time Part Time Semi-retired Retired

___Age? Under 35 36 to 45 46 to 55 56 to 62 over 63

___Do you have children that travel with you & how many?

___Number of people that travel in your bus on average:

___Yearly Household Income: Under $25K $26K to $45K

___ $46K to $60K $61 to $75K $75K to $99K over $100K

___Do You Subscribe to the Magazine? Yes No

___How Long Have You Been A Subscriber?

___Do You Participate On Our Bulletin Board? Yes No

___What would you like to see more or less of in the Magazine?
___