Please fill out the information below if you would like us to send you additional information about our products and wish to kept up to date about new issues when they are released.

First Name	Last Name
Address	Suite /Apt #.,
City	StateZip
Country
Phone	Fax
E-Mail	URL

Fill out the optional section below and be automatically entered to win a copy of one of our directories....you get to choose which one!

Which area of the industry do you belong to ? Artist / Songwriter Manager Attorney Publisher Film /TV Composer Agent Publicist Press/Journalist Manufacturer Recording Studio Other	What kind of music do you listen to? Rock/Pop Jazz/Blues/R&B Country Alternative Classical Hip Hop/Rap Latin Easy Listening/MOR Books & Spoken Children's Music Electronic Hip Hop/Rap World Other
Which type of operating system do you use? PC / Windows XP PC / Windows ME PC / Windows 2000 PC / Windows 98 PC / Windows 95 PC / Windows 3.1 PC / Windows NT MAC OS 7 or below MAC OS 8 MAC OS 9 MAC OS 10+ Unix Other	If you buy music online - do you have a favorite web site ? Music Blvd Amazon CD Now MP3 Barnes & Noble Borders Other
What is your age group? 15-21 21-25 25-30 30-40 40+	How many live concerts per year do you attend? 1-3 4-8 9-12 More than 12

If you have a specific request or comments, please enter it in the field below. Thanks.

The Music Business Registry, Inc.
7510 Sunset Boulevard, #1041
Los Angeles, CA 90046-3400 USA
740-587-3864 * Fax: 818-495-4875