Name*:

E-Mail Address*:

Address*:

Country:

*For purposes of awarding prizes only. Trust us.

Age:

Gender:
Male Female

Do you:

Have a credit card?
Yes No

Own a car?
Yes No

Own a house?
Yes No

Purchase CDs regularly?
Yes No

Attend rock concerts regularly?
Yes No

Go to the movies frequently?
Yes No

Personally own a computer capable of accessing the WWW?
Yes No

Are You:

A college student?
Yes No

A college graduate?
Yes No

Working on (or currently have) a post-graduate degree?
Yes No

Connecting to the WWW through a commercial on-line service?
Yes No