Server: Netscape-Enterprise/2.01 Date: Thu, 18 Dec 1997 22:35:21 GMT Content-type: text/html ADVO - Survey/Sweepstakes Entry Form

Fill Out Our Survey So We Can Serve You Better!

The following survey information is being gathered to help continually improve upon the services and promotional events we bring to you. By filling out this survey, you are automatically entered into our sweepstakes. Please fill out or check the appropriate box.

One entry per person. Entries must be sent by 11/30/97.

Name
Address 1
Address 2
City
State
Zip
Phone No.
E-Mail Address


The following questions are optional to entering the sweepstakes event. This information is being gathered to help continually improve upon the services and promotional events we bring to you.

Please check to appropriate button.

Gender Male Female
Age 18-30 31-49 50+
Children at home? YES NO
Income <$24,999 $25,000-$49,999 $50,000+


Please indicate how strongly you agree or disagree with each of the following statements. Check one Button for each statement.
Agree Strongly Agree Somewhat Disagree Somewhat Disagree Strongly
I tend to plan my shopping based on the coupons and special offers I have.
I keep an eye out for coupons and special offers, and don't care where they come from.
I enjoy looking through the packets of coupons and special offers I receive in the mail.
I usually buy brands that are on sale or have coupons and special offers.

How did you hear Internet
about our site? Mail Package
Word of Mouth
Read About It
Other

What would you Ways to save Money
like to see added More Sweepstakes
to our site? Retailer Advertising
More Info On Mailbox Values and ADVO
Other:

Click here to view the rules and regulations for the Movie Fantasy Sweepstakes.

U.S. residents only.