
Date of show:
Show venue (location):
First name:
Last name:
Phone Area Code :
City:
Province / State:
Country:
ZIP / Postal Code:
Born in :
Sex:
Email Address:

How did you first hear about your favorite Battle Axe artist?
How did you hear about this show?	Who are your favorite local artists?
Where do you buy music?	What are your favorite live venues?
Which magazines do you read regularly?	What radio stations do you listen to?
Which TV shows/stations do you watch?	Who are your favorite non-Battle Axe artists?
What music websites do you visit regularly?	What merch items would you like to see made available from this artist?
Are you in school?	If so, what is the name of your school?