First Name		Home Phone
Last Name		Work Phone
Address		Fax
City		Cell Phone
State	-Select- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MO MN MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY	Email
Zip

 

• Would you like information about new product releases? (check all that apply)

Loudspeakers	Receivers
Subwoofers	Power Amplifiers
	Preamplifiers
DVD Players	Surround Processors/Multi-channel Amplifiers
CD/SACD/DVD Audio Players	Vacuum Tube Electronics
Turntables
	Video Projectors (DLP, LCD, DILA, CRT)
Cables-Audio (Interconnects/Speaker Wire)	Flat Panel Displays (Plasma, LCD)
Cables-Video (Composite, S-Video, Component)	HDTV

• Tell us which of the following media types would be the most effective in reaching you: (check all that apply)

Milwaukee Magazine	Milwaukee Journal-Sentinel	Sheperd Express
Exclusively Yours	Milwaukee's Northshore Lifestyle	Absolute Sound
Town & Country	Milwaukee Home	Robb Report
Sound & Vision	New York Times	Stereophile
Goldmine	Architectural Digest	Home Theater

Other:

• Which are your favorite venues? (check all that apply)

Marcus Amphitheater	Marcus Center (PAC)	Pabst Theater
Alverno College (Pitman Theater)	The Rave/Eagles Ballroom	Riverside Theater
UWM-Peck School of the Arts	Shank Hall	Miramar Theater
Wisconsin Conservatory	Bremen Cafe

Other:

• What type of music do you enjoy? Which radio stations do you regularly listen to?

• What are your favorite movies?