Survey answers will be kept in the strictist of confidence
How did you hear about us?
Is your telephone service on?
Yes
No
Would cost cause you to change service?
Yes
No
Would customer service cause you to change services?
Yes
No
Must a product have Brand Name Recognition for you to buy?
Yes
No
What do you like best about the products on this website?
Would you like to reduce or eliminate debt?
Yes
No
Are you interested in getting monthly rebates for telephone, internet or DVD services?
Yes
No
Can you find what your looking for on this website?
Yes
No
All purchases made thru this website and survey completed wll receive extra rebates so please leave email address:
*
Name
*
Street address:
City,state, zip code
Would you recommend our services to a Friend?
Yes
No
Would you be interested in placing Free Classified ads on the Internet?
Yes
No
Are you interested in eliminating your mortgage payments before 30yrs?
Yes
No
Does your salary never seem to stretch far enough?
Yes
No
Do you find it difficult, if not impossible, to build up your savings?
Yes
No
Do you know the Greatest Friend a person can have?
Yes
No
Telephone Number
*
I chose Blockbuster Online Plan 1 for Monthly subscription
Yes
No
I chose Blockbuster Online Plan 2 for yearly subscription.
Yes
No
Did you chose a DSL prepaid plan
Yes
No
I would like a FREE Bonus Report mailed to me.
Yes
No
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