LOVINLIFE PARTY - FREE CD GIVEAWAY!

Complete our quick survey and get
DJL’s Mix CD FREE!

You must complete the entire form.

Name

Address

APT #

City, State & Zip

Phone Number

Gender

Male

Female

Age

Income Level

Marital Status

Nearest Major City

Favorite Website

Favorite Magazine

How often do you attend social events or visit nightclubs?

Dailly

Weekly

Monthly

Rarely

On average, how much do you spend when you go out?

not including transportation or lodging

Would you have interest in a National magazine that provides extensive coverage on nightlife culture and the lifestyles it promotes?

Yes

How much would you pay for a National Nightlife Magazine?

$1 - $2

$3 - $4

$5 - $6

$7+

How much would you pay for a 1 year subscription?
(4 issues)

How much would you pay for a 2 year subscription?
(8 issues)

Would photos with tastefully applied nudity offend you?

Yes

Would you prefer online content or hard copy paper content?

Online

Hard Copy Paper

Both

Would you utilize online membership services?

Yes

Maybe

Depends on Services

Would you utilize a Concierge service providing cover charge & bottle service discounts to the best clubs & major events?

Yes

If YES, How much would this Concierge service be worth?

How would you choose to interact with our Concierge?

In Person

Phone

Website

Would you attend exclusive events hosted by our magazine?

Yes

If yes, how far would you travel to attend such an event?

Please select the topics below that interest you the most?

Sex

Fashion

Alcohol

Health & Diet

Photo Spreads

Music Charts

Nightlife Scene

Electronica

DJ Reviews

Recreational Drugs	Celebrity Gossip
Alternative Lifestyles	Night Club Reviews
LocalEvent Photos/Reviews	Celebrity Interviews

Local Night Clubs & Restaurant Listings & Reviews