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Information Survey


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This survey is divided into the following sections:

Fill out the information in each section as requested. Then at the end of the form supply your name and contact information, and submit the form. You will receive a confirmation message from us shortly.


SECTION A -- Favourite team

These are the instructions for filling out this section. These are the instructions for filling out this section.These are the instructions for filling out this section.

  1. What is your favorite Hockey team?



  2. How many games do you watch per year:

    None 1-5 5-10 10-20 More than 20

  3. We would like to send you some literature. What is your mailing address?
    Name     
    Street   
    City     
    State    
    Zip Code  
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SECTION B --RATE this survey

These are the instructions for filling out this section. These are the instructions for filling out this section. These are the instructions for filling out this section.

  1. How would you rate this survey?

    Bad Poor Fair Good Excellent

  2. What is your favorite color?



  3. Select the league you are most interested in:

    N.H.L.
    I.H.L.
    A.H.L.
    E.C.H.L.
    W.H.L.



    Username
    Password
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SECTION C -- Comments

  1. Please enter any additional comments :




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FORM SUBMISSION

Thank you for taking the time to answer the questions in our survey.

This explains how we plan to use the information you provide to us. We will also explain what benefits you receive from helping us in this way.

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Author information goes here.
Copyright © 1995 [OrganizationName]. All rights reserved.
Revised: November 20, 1998.