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Print the form, complete the necessary information, and fax the form to us at 1-800-bluwavm.

First Name: _________________________________________________

Last Name: _________________________________________________

E-mail Address: _________________________________________________

Circle the type(s) of music that you prefer:  Country Folk Latin Pop Rap Rock

Where do you make most of your music purchases:  Don't buy music iTunes Amazon Other online store Retail store

Circle your favorite Internet radio station:  Google Live 365 Pandora Slacker

Name station not listed: ____________

What else can you tell us about your music preferences? _________________________________________________________________________________

Thank you for your completing our survey.