---------------------------------------------------------------------- Subscription Type: MAIL - YOU WILL BE BILLED $44.95 ANNUALLY TO COVER PRINTING COSTS AND MAILING FEES. ONLINE - IT'S FREE BECAUSE YOU ARE SAVING A FEW TREES. ---------------------------------------------------------------------- Full Name: Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code: E-Mail: ---------------------------------------------------------------------- Optional Demographic Information ---------------------------------------------------------------------- Status: SINGLE   MARRIED Sex: FEMALE   MALE Age: 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55+ Education: Post Graduate College Graduate Some College High School Income: Residence: OWN   RENT Home Value: ---------------------------------------------------------------------- How many vehicles do you own? Seven + Six Five Four Three Two One None What type is your primary vehicle? Aston Martin Bentley BMW Ferrari Jaguar Lambourghini Lexus Lotus Maserati Mercedes Benz Porsche Range Rover Rolls Royce ------------ Other Import Domestic Model ---------------------------------------------------------------------- Do you own a yacht? YES   NO If you own a yacht, do you plan on upgrading in the next 12 months? YES   NO ---------------------------------------------------------------------- How many vacations do you take a year? Seven + Six Five Four Three Two One None Have you vacationed abroad in the last 12 months? YES   NO Have you vacationed in Hawaii in the last 12 months? YES   NO Have you vacationed in Las Vegas in the last 12 months? YES   NO Have you vacationed in Mexico in the last 12 months? YES   NO ---------------------------------------------------------------------- How much do you spend a month on discretionary shopping? $10,000 or more $7000 - $9999 $5000 - $6999 $3000 - $4999 $1,000 - $2999 Less than $999 Do you shop at specialty gourmet grocery markets? YES   NO ---------------------------------------------------------------------- How many times do you dine out per week? 5+ 3 - 4 1 - 2 None How many times a month do you eat at a fine dining restaurant? 5+ 3 - 4 1 - 2 None ----------------------------------------------------------------------

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