Name *

First Name

Last Name

Phone

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Address *

Address 1

Address 2

City

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Do you want to be included on GK's mailing list? *

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What consideration(s) influenced your choice? *

Personal Selection

Product Features

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Artist Endorsement

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Age *

Under 13

14-18

19-24

25-30

31-40

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Musical Preferences *

Rock/Blues

Metal/Punk

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Jazz

Country/Folk

Gospel/Praise & Worship

Annual Household Income *

Over 100,000

75,000-99,999

50,000-74,999

25,000-49,000

Under 24,999

Other

Musical Status

Professional

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Hobby

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Other

Magazines you read *

Bass Player

Guitar Player

Bassics

Double Bassist

Guitar World

Bas Guitar by Guitar World

Christian Musician

Jazz Times

Other

None

Do you own other GK gear? *

Yes

No