E-Mail Address*:

Daytime Phone Number*:

*For purposes of awarding prizes only. Trust us.

State or nation of residence:

Age:

Gender:
Male Female

Yearly Income:
less than $15,000
$15,000 to $24,999
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
I want to invest

Have a car?
Yes No

Have a credit card?
Yes No

Have a house?
Yes No

Purchase CDs regularly?
Yes No

Attend rock concerts regularly?
Yes No

Go to the movies frequently?
Yes No

Work for a college or university?
Yes No

Work for the government?
Yes No

Are You:

A student?
Yes No

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