1. Shipping information should you win this month!
	Full Name Website Or Blog Address Shipping Addresss 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 Email Address

	2. How did you find our website or blog today?
	Google Facebook Twitter YouTube Other Search Engine None Of The Above

	3. What were you searching for or what were you doing when you found our blog or website?

	4. Are you currently working to generate income using the Internet?
	Yes No

	5. If YES to question 2, how long have you been in business?
	Six months or less 6 months to 1 year 1 to 3 years 3 to 5 years 5 years plus

	6. What is the nature of your business?
	Sell products/services online Sell products/services off line Sell products/services online and off line

	7. What is your annual marketing and advertising budget?
	Less than $,5000 $5,00 to $10,000 $10,000 to $25,000 $25,000 plus

	8. Do you, or have you ever, used Google AdWords, Facebook PPC or other PPC?
	Yes No

	9. What is your primary method of advertising and marketing?
	Search engines and social media Print advertising Email advertising Other All of the above

	10. List five keywords that you would like to reach the front pages of Google for?