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First Name:
Last Name :
Company:
Email address:
Which of the following best describes your company’s primary business?:
Consumer Electronics
Mass Merchant
Warehouse Club
Video Rental
E-Commerce Retailing
Retailer Computer/Video Games
Retailer M Music/DVD/Book
Toy Store
Supermarket/Convenience Store
Drug Store
Hardware Manufacturers
Supplier Ancillary Products
Programming/Content Supplier
Video on Demand (VOD)/Cable/Digital Delivery
Computer/Internet/Tech Firm
Distribution/Rack Jobber
Custom Installers
Consumer Press/Critic/Reviewer
Financial Analyst
Public Relations/Ad Agency/Creative
Consumer
Other
Which of the following best describes your Title? (Fill in ONE only):
 Owner/CEO/President
Senior M Management (Corporate L Level)
DVD Buyer
Games Buyer
Music Buyer
Hardware Buyer
Senior Management (Store L Level)
Sales Representative/Associate
Journalist: Print/Online/Broadcast/Radio
Financial/Business Analyst
Other
Which of the following magazines do you read on a regular basis?
(Fill in ALL that apply):
CustomRetailer
Dealerscope
Hollywood Reporter
Twice
Variety
Video Business
None of the Above