ExpoPerks Membership Form!

Join ExpoPerks now by completing our membership form.
$50 for Individual or $75 for Two (sign up together and save!)

Questions with an * are required to become a member.

Name:	*	I am signing up as:	*
If as couple, name of person you are signing up with: *NOTE!! Each person needs to fill out his or her own form!*
Company:
Address:	*	City:	*
State:	*	Zip Code:	*
Country:		Phone:
Fax:		Email:	*

Thank you for completing the following information to help us serve you better! This is necessary to complete your membership application. Questions with an * are required to become a member.

Gender: * Male Female

Age: *

Birthday Month:*

Born in Montana:* Yes No

College Education:*

Do you work... *

What is your favorite type of music?*

Do you prefer to shop for retail items (i.e. sporting goods or tools)...*

Do you have children?* Yes No

If so, are they involved in (check all that apply)...

Sports		Scouts
4-H		Church
Music		Other
Academic Clubs (i.e. FFA, BPA)

What time of the year are you the most busy?*

Where do you receive the majority of your news?*

What two Television shows do you watch most?* (1) (2)

What night of the week would you most prefer to attend an event? (Please choose up to three) *

Mon		Tues		Wed		Thur
Fri		Sat		Sun

What night of the week would you least prefer to attend an event? (Please choose up to two) *

Mon		Tues		Wed		Thur
Fri		Sat		Sun

What is your favorite kind of event to attend?*

Why are you signing up for ExpoPerks?*

How did you hear about ExpoPerks?*

How Much Does it Cost? >>

$50 for Individual

$75 for Two (sign up together and save!)