Questionnaire

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Name and Address Fields are Optional, but if you want information on the Country Legends Association to be sent to you, they must be filled out.

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Your Full Name:

Email Address:

Address:

City:

State/Providence: Zip Code:

Country:

Phone Number

Fax Number

Are you: Male Female

What Age Group are you in:

Are you in the Music Industry, or are you a Fan?

1. Will you support the Country Legends Association to help change the trend by your membership and participation?

Yes No

2. Do you listen to country radio stations?

Yes No

3. If yes, station call letters

location

4. Do you feel the country legends and new traditional artists receive enough airplay?

Yes No

5. Do you want to hear more of the classic country music and new classic music, including their latest recordings on radio & television nationally?

Yes No

6. Would you visit the Country Legends Hall of Fame which is planned by the Country Legends Foundation?

Yes No

7.Would you be interested in programs designed for senior citizen entertainment?

Yes No

If you answered YES to all or most of the above questions, this is your opportunity to cast your vote and let your voice be heard to bring about changes needed to continue the efforts to assure that the will of fans and industry people like yourself will become a reality. Membership is just pennies a day We need your help today!

Your comments and suggestions are important. Please comment in the box below...

Comments:

The COUNTRY LEGENDS ASSOCIATION represents the will of the people and all who believe in our cause!

© 1997-2006 Country Legends Association All rights reserved. CLA is a Texas Corporation as of 3/25/04 Produced and maintained by Marlene Slater - Yours By Design	Country Legends Association Inc TEXSOTA RANCH 32332 298th St GLEN,MN 56431 Phone: 320-684- 2804 OR 218-260-9098 Fax: 218-626-2796
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