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To receive special internet subscription pricing for Collector Car Market Review, fill out this brief survey, sign up for this low internet special offer of 1-year for US$14.95 (regularly $21.95). (US addresses only) Note: Form must be completely filled out!

Name: Lastname:

Address:

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1. Gender: Male Female

2. Age: Under 3030-3940-4950-6060+

3. Other Activities/Hobbies/Interests (check all that apply):

Antiques Fishing Memorabilia Boating

Hot Rods NASCAR Camping Hunting

Racing (other) Internet Travel Collectibles

4. Late Model Vehicles Owned (if none, type "none")

Year Make Model

Vehicle 1:

Vehicle 2:

Vehicle 3:

Vehicle 4:

Do You own a recreational vehicle? Yes No

5. Collector/Antique Vehicles Owned

Year Make Model

Vehicle 1:

Vehicle 2:

Vehicle 3:

Vehicle 4:

If more, how many? Domestics Imports

6. Do you plan to buy or sell a collector vehicle within the next year?

Six months Year No

7. Do you plan to buy or sell a new or used vehicle in the next:

Six months Year No

8. On average, how much do you spend on collector cars, parts and services each year?

$0-1,000 $1,000-5,000 $5,000-10,000 Over $10,000

9. How many car shows do you attend each year? if none, type "0"

10. How many collector car auctions do you attend each year? if none, type "0"

11. Do you have specialty collector car insurance? Yes No

12. Did you buy your last collector car from:

Dealer Private Party Auction

13. Do you tow a trailer? Yes No

14. How did you arrive at our website?

If a LINK, what is the name of the site?

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