Model:
		Serial Number:
		Purchase Date:	Month Day 20
		Dealer:
		Your Name:
		Your Address:
		Your City:
		State:	None AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AS GU MP PR VI Zip:
		Telephone:
		E-mail:
Do you want to be included on GK's mailing list?					What considerations influenced your choice?
	Yes					Personal Selection
	No					Product Features
						Product Reputation
Age:						Artist Endoresment
	Under 13					Advertising
	14-18					Dealer Recommendation
	19-24					Friend's Recommendation
	25-30
	31-40				What top 3 music related web sites do you visit most ofter?
	Over 40
Musical Preferences:
	Rock/Blues
	Metal/Punk				Annual household income:
	Funk/R&B					Over $100,000
	Jazz					$75,000-$99,999
	Country/Folk					$50,000-$74,999
	Gospel/Praise & Worship					$25,000-$49,999
Other:						Under $24,999
Musical Status:					Magazines you read:
	Professional					Bass Player
	Part-time Professional					Guitar Player
	Hobby					Bassics
	Student					Double Bassist
	Church					Guitar World
Other:						Bass Guitar by Guitar World
						Christian Musician
Do you own other GK gear?						Jazz Times
	Yes				Other:
	No
					Additional products or features you would like to see from GK:
If yes, which products?
Other brands/models considered in your decision process?