Questions marked with an asterisk (*) are mandatory.

1	Who is your favorite author?

2	What was the last book you read just for fun?

3	If you could live at any time in history, when would it be?

4	If you could leave today, to which country would you travel?

5	If you could be any character from fiction, who would you be?

6	* Please list your High School (include city and state)

7	* Please provide your graduation year

8	* Please provide your address Name: Company: Address: City: State: AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NU NV NY OH OK ON OR PA PE PQ RI SC SD SK TN TX UT VA VT WA WI WV WY YT Zip:

9	Please provide your email address.

10	Please provide your home phone number.