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Thanks for registering for Ink Blot Magazine's Tori Amos Promotion Giveaway.   Please take a minute or two to fill out the following questions.  Your answers will help give us a better idea of who our visitors are-- we appreciate you taking the time.

We are giving away a Tori Amos interview CD.  The winner will be chosen randomly from the respondent pool and notified by e-mail.  Please do not fill this out if you have already done so. Required fields have an asterisk (*) next to them.


1.  How many Tori Amos records do you own?  

2.  What kinds of Tori Amos or other band-related stuff do you purchase?
recordings    t-shirts    concert tix    art (posters, photos, prints, etc.)
other

3. If Ink Blot can swing some good deals on Tori Amos related gear, do you want us to tell you?
 yes    no

4.  How many CDs do you buy per month?  

5.  Help us decide what music to cover. Please list your five favorite artists*:
    1.
    2.
    3.
    4.
    5.

6.   Which of the following genres most interest you?
indie/post rock    punk rock    classic rock
jazz    techno/dance    trip hop    hip hop/rap
country/alt.country     folk    pop   
neo/classical
other (please specify)

7.  Please tell us how we can improve Ink Blot Magazine:

8.  Are you a musician?  yes      no

9.  What is your age? 

10.  What gender are you? male    female

11.  What is your U.S. zip code? If you live outside of the U.S., please tell us what country you are from*: 

12.  Please give us your name and e-mail address so we can notify you if you've won a prize:
First name*: 
Last name*: 
E-mail address*: 

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Privacy Statement: Ink Blot Magazine will not share your personal information with anyone ever. The data we collect from our survey will be aggregated to give us a general picture of our audience. Thanks again!