Questions marked with an asterisk (*) are mandatory.

1	* First Name

2	* Last Name

3	* Mailing Address

4	* City

5	* State

6	* Zip Code

7	* Nearest major city to your residence:

8	* Email Address

9	* Blog Name

10	* Blog URL

11	* Estimated Unique Visitors per month:

12	* How long have you been blogging? < 6 months 6 months - 1 year 1 year - 3 years 3 years - 5 years > 5 years

13	* The focus of my blog is (check all that apply): Parenting Coupons/Freebies Product Reviews Sports Automotive Technology Travel Food Local Arts and Entertainment Other, please specify

14	* Do you review products and/or hold giveaways on your blog?

15	* How often do you update your blog on average? Less than once a month Less than once per week One post per week Two posts per week Three posts per week Four posts per week 5 or more posts per week

16	Twitter Name

17	* Does your significant other have a blog?