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Microsoft NetworkNetcomNetscapeNetZeroProdigyQuadroRCNSBC (PacBell)SiriusSlip.NetThe WELL (Whole Earth)VerizonYahooTV ServiceCableIPTVSatelliteNoneComputer at Home: Apple / Mac Acer Asus Dell Google HP Lenovo Linux Microsoft Samsung Other No Computer at Home Children (under 18)First ChildFirst Child's First NameFirst Child's GenderGenderMaleFemaleFirst Child's Date of Birth Date Format: MM slash DD slash YYYY Second ChildSecond Child's First NameSecond Child's GenderGenderMaleFemaleSecond Child's Date of Birth Date Format: MM slash DD slash YYYY Third ChildThird Child's First NameThird Child's GenderGenderMaleFemaleThird Child's Date of Birth Date Format: MM slash DD slash YYYY Fourth ChildFourth Child's First NameFourth Child's GenderGenderMaleFemaleFourth Child's Date of Birth Date Format: MM slash DD slash YYYY Automobiles First CarFirst Cars YearFirst Cars MakeChoose Make...AcuraAlfa RomeoAMCAudiAvantiAustin HealeyBentleyBMWBuickCadillacChevroletChryslerDaewooDaihatsuDodgeEagleFerrariFiatFordGeoGMCHondaHummerHyundaiInfinitiIsuzuJaguarJeepKiaLand RoverLexusLincolnMazdaMC-BMWMC-BuellMC-DucatiMC-Harley DavidsonMC-HondaMC-KawasakiMC-LambrettaMC-PiaggioMC-SuzukiMC-YamahaMercedesMercuryMerkurMGMiniMitsubishiMorris-MinorNashNissanOldsmobileOther DomesticOther ForeignPeugeotPlymouthPontiacPorscheRange RoverSaabSaturnScionSmartSterlingSubaruSuzukiTeslaToyotaVolkswagenVolvoWinnebagoYugoFirst Cars ModelChoose Model...CLCL 3.0ILXIntegraLegendMDXNSXRLRLXRDKRSXSLXTLTSXVigorZDXMilanoSpiderAllianceConcordEagle TalonEncoreJavelinSpirit100 Series100 Series - Wagon200 Series4000500 Series - Wagon5000500080 Series90 SeriesA3A4A6A7A8AllroadCabrioletCoupeGTQ3Q5Q7QuattroR8RS4RS5S1S4S5S6S7S8SQ5TTTTRSTTSV8 Quattro1 Series3 Series3.0SI318 Series323325i - Convertible325i Series328i Series330i Series4 Series5 Series525i Series528 Series530 Series535i Series540I6 Series6336357 Series735i Series7408 SeriesActive HybridAlpina B7B7C3M SeriesM3M5M6X3X5Z3Z4BuickCenturyCentury - WagonElectra - WagonEncoreEstate-WagonLaCrosseLe SabreLe Sabre - WagonLucernePark AvenueRainierReattaRegalRendezvousRivieraRoadmasterSableSkyhawkSkyhawk - WagonSkylarkSomersetTerrazaTransportUltraWildcatAllanteBroughamCateraCimarronCTSDeVilleDTSEl DoradoELREscaladeFleetwoodSevilleSRXSTSSTXXLR1500Astro VanAvalancheAveoBelairBerettaBlazer - LargeBlazer - SmallCamaroCamaro - ConvertibleCamaro - IROC ConvertibleCamaro - IROC ZCapriceCaprice - WagonCaptive SportCavalierCavalier - ConvertibleCavalier - WagonCelebrityCelebrity - WagonChevelleChevetteCheyenneCobaltColoradoCorsicaCorvairCorvetteCorvette - ConvertibleEl CaminoEquinoxExpressHHRImpalaKODC4500LuminaLUVMalibuMetroMonte CarloNovaPickupPickup (C-K Series)Pickup (R-V Series)PrizmS-10 PickupScottsdaleSierraSilveradoSilverado 1500Silverado 2500Silverado 3500Silverado HybridSportVanSprintSSRSuburbanTahoeTrackerTrailblazerUplanderVanVentureZ-28Z-71300AspenCirrusConcordeConquestCrossfireEagle Vision TSIFifth AvenueGrand VoyagerImperialLandauLaserLe BaronLe Baron - ConvertibleLe Baron - WagonLe Baron GTSLHSLXIManhattanNeonNew YorkerPacificaPT CruiserSebringTC by MaseratiTouring CoupeTown & CountryVoyagerCharade800AriesAries - WagonAvengerCaliberCaravanChallengerChargerColtColt VistaConquestDakotaDartDaytonaDiplomatDurangoDynastyGrand CaravanIntrepidJourneyLancerMagnumMini Ram VanMonacoNeonNitrpOmniPickup (D-Series)Pickup (D-Series)RaiderRam 1500Ram 2500Ram 3500Ram 50 PickupRam PickupRam SRTRam VanRamchargerRampageReliantShadowSpiritSportsmanSprinterSt. RegisStealthStratusSVVan (B-Series)ViperWagon (D-Series)MedallionMedallion WagonPremierSummitTalonVisionWagonAerostarAspireBroncoBronco IIClub WagonContourCougarCourierCrown VictoriaE-150Econoline VanEdgeEscapeEscape HybridEscortEscort - WagonE-Series VanExcursionEXP / EscortExpeditionExplorerF100F-150F-250F-350F-450FairmontFalconFestivaFive HundredFlexFocusFreestarFreestyleFusionGranadaGTLong box PickupLTDLTD Crown VictoriaMaverickMetroModel AModel TMustangMustang - ConvertiblePickup (F-Series)PintoProbeRancheroRangerTaurusTaurus - WagonTempoThunderbirdTorinoWindstarZX2MetroPrizmSpectrumStormTrackerAcadiaAstro VanCanyonDenaliEnvoyJimmy - LargeJimmy - SmallPickup (C-K Series)Pickup (R-V Series)RallyS-15 PickupSafariSavanaSierraSierra 1500Sierra 2500Sierra 3500Sierra DenaliSierra HybridSonomaStar CraftSuburbanSycloneTOPC4500TyphoonVanduraYukonAccordAccord HybridCivicCivic HybridCivic WagonCR-VCRXDel SolElementEV1FitInsightMotorcycleOdysseyPassportPilotPreludeRidgelineS2000AccentAzeraElantraEntourageExcelS CoupeSanta FeSonataTiburonTucsonVeracruzXG300AscenderEX37FX37G20TG25G35I 30I-280I35I-350J30M30N30Q45Q50Q60Q70QX4QX50QX60QX70QX80AmigoAscenderI-290I-370I-MarkImpulsePickupRodeoTrooperVehicrossF-TypeS-TypeXFXJ5XJ6XJ8XJSXJ-SeriesXK8XK-SeriesX-TypeCompassCherokeeCJ5CJ8ComancheCommanderGrand CherokeeGrand LaredoGrand WagoneerLaredoLibertyPatriotRenegadeScramblerWagoneerWillysWranglerAmantiCadenzaOptimaRioRio5RondoSedanSedonaSephiaSorentoSpectraSpectra5SportageCT HybridESES HybridES 300ES200ES250F-PerformanceGSGS HybridGS300GS400GS430GXGX470ISIS300LFALSLS HybridLS200LS400LS430LXLX470RXRX HybridRX300RX350SCSC300SC400SC430BlackwoodContinentalLSMark IVMark LTMark VMark VIIMark VIIIMKXMKZNavigatorTown CarVersaillesZephyr2200 Pickup2600 Pickup323323 Wagon626929B2000B2500B3000B4000 PickupB-Series PUCX-7CX-9GLCGTUM6Mazda3MAZDA5Mazda6MAZDASPEEDMiataMP3MPVMPV WagonMX-3MX-5 MiataMX-6NavajoProtégéRX-10 Anniversary EditionRX-6RX-7 ConvertibleRX-7 GXLRX-7 SERX-7 TurboRX-8Tribute190200 Series240260280 SL300300 SE - Wagon300 Series3000360400 Series420 SEL450500500 SC560560 Convertible600 SELC220C230C240C280C320C-ClassCL-ClassCLK320CLK500CLK-ClassCLS-ClassE300E320E500E550E-ClassG-ClassGL-ClassM-ClassML-ClassML320ML430ML500ML55R-ClassS320S500S-ClassSL500SL560SL-ClassSLK230SLK-ClassSLR-McClarenCapriCougarGrand MarquisLynxMarauderMarinerMariner HybridMarquis - WagonMilanMontegoMontereyMountaineerMystiqueSableSable - WagonTopazTracerVillagerScorpioXR4Ti3000 GTChariotColtCordiaDiamanteEclipseEclipse-SpyderEndeavorGalantLancerLancer EvolutionMighty maxMirageMonteroOutlanderPickupPrecisRaiderSigmaSpace WagonStarionTrediaVanWagon200 SX2000 NX240 SX240 Z280 Z280ZX300 ZX350Z810AltimaArmadaB210FrontierGT-9MaximaMaxima WagonMuranoPathfinderPickupPulsar NXQuestRogueSentraSentra WagonStanzaStanza WagonTitanVanVersaXterra88 Royale98 RegencyAleroAuroraBravadaCalaisCieraCustom CruiserCutlass SupremeDelta 88FirenzaIntrigueOmegaSilhouetteToronadoTouring SedanTrofeo405505505 WagonAcclaimArrowBelvedereBreezeCaravelleChampColtColt - WagonColt VistaConquestDusterGran FuryHorizonLaserNeonProwlerReliant KReliant WagonSapporoScampSundanceTourismoTown & CountryTraildusterVoyager100060006000 STE6000 STE Wagon6000 WagonAztecBonneville LEBonneville SEBonneville SSECatalinaFieroFirebirdG5G6G8Grand AmGrand PrixGrand SportGTOJ2000Le MansMontanaParisiennePhoenixSafari WagonSolsticeSunbirdSunbird - ConvertibleSunbird - WagonSunfireSunfire - ConvertibleTorrentTrans AmTransSportVibe356C911914918 Spyder924928944BoxterCarreraCayenneCayman4WD WagonHSE 4.63896338965900900 Convertible9000900S9-2X93 SE959-7XAstraAuraIonL100L200LS1LS2OutlookRelaySC2SCISkySL1SL2SWVue825B9 TribecaBajaBratDLDL WagonForesterGLGL WagonGL-10GL-10 WagonImprezaJusty691LegacyLoyaleOutbackOutback ImprezaOutback LegacyRT-6 CoupeRXTribecaWRXXV CrosstrekAerioBanditEsteemForenzaGrand VitaraMarauderRenoSamuraiSamurai ConvertibleSidekickSX4TrooperVeronaVitaraXL-74 Runner4 x 44x2 TruckAvalonCamryCamry HybridCamry WagonCelicaCelica ConvertibleCorollaCorolla SportCorolla WagonCoronaCressidaEchoFJ CruiserHighlanderHighlander HybridLand CruiserMatrixMR2PaseoPickupPreviaPriusRAV4ScionSequoiaSiennaSolaraStarletSupraT100TacomaTercelTercel WagonTundraVanVenzaYarisBeetleCabrioCabriolet ConvertibleCorradoDasherEoSEurovanFoxFox WagonGLIGolfGTIJettaKarmen GhiaNew BeetlePassatPhaetonQuantumQuantum WagonR32RabbitRabbit PickupSciroccoThingTouaregTrekType 3Vanagon CamperVanagon GL240240 Wagon244260540740 GLS740 Wagon760760 Wagon765780850 GLT Wagon850T940 GL960960 WagonC30C40C70F80S40S60S70S80S90V50V70X SeriesXC70XC90GVGVLGVSGVXSpyderX19Dyna Low RiderElectraglideFatboyFlthciHeritage ClassicSoftail FXCB 750CBR F4IEliteGold WingShadowSilver Wing3000K2750NinjaDiscoveryFreelanderLR2LR3Range RoverRoadsterFeragoFZRMaximViragoMetropolitanTV1751000LanosLantraLeganzaNubiraCooperTCxAxBxCxDVespaBlastCycloneFireboltLightning748SV650SH1H2H2-SUTH3fortwoCoupeSedanModel SRoadsterSecond CarSecond Cars YearSecond Cars MakeChoose Make...AcuraAlfa RomeoAMCAudiAvantiAustin HealeyBentleyBMWBuickCadillacChevroletChryslerDaewooDaihatsuDodgeEagleFerrariFiatFordGeoGMCHondaHummerHyundaiInfinitiIsuzuJaguarJeepKiaLand RoverLexusLincolnMazdaMC-BMWMC-BuellMC-DucatiMC-Harley DavidsonMC-HondaMC-KawasakiMC-LambrettaMC-PiaggioMC-SuzukiMC-YamahaMercedesMercuryMerkurMGMiniMitsubishiMorris-MinorNashNissanOldsmobileOther DomesticOther ForeignPeugeotPlymouthPontiacPorscheRange RoverSaabSaturnScionSmartSterlingSubaruSuzukiTeslaToyotaVolkswagenVolvoWinnebagoYugoSecond Cars ModelChoose Model...CLCL 3.0ILXIntegraLegendMDXNSXRLRLXRDKRSXSLXTLTSXVigorZDXMilanoSpiderAllianceConcordEagle TalonEncoreJavelinSpirit100 Series100 Series - Wagon200 Series4000500 Series - Wagon5000500080 Series90 SeriesA3A4A6A7A8AllroadCabrioletCoupeGTQ3Q5Q7QuattroR8RS4RS5S1S4S5S6S7S8SQ5TTTTRSTTSV8 Quattro1 Series3 Series3.0SI318 Series323325i - Convertible325i Series328i Series330i Series4 Series5 Series525i Series528 Series530 Series535i Series540I6 Series6336357 Series735i Series7408 SeriesActive HybridAlpina B7B7C3M SeriesM3M5M6X3X5Z3Z4BuickCenturyCentury - WagonElectra - WagonEncoreEstate-WagonLaCrosseLe SabreLe Sabre - WagonLucernePark AvenueRainierReattaRegalRendezvousRivieraRoadmasterSableSkyhawkSkyhawk - WagonSkylarkSomersetTerrazaTransportUltraWildcatAllanteBroughamCateraCimarronCTSDeVilleDTSEl DoradoELREscaladeFleetwoodSevilleSRXSTSSTXXLR1500Astro VanAvalancheAveoBelairBerettaBlazer - LargeBlazer - SmallCamaroCamaro - ConvertibleCamaro - IROC ConvertibleCamaro - IROC ZCapriceCaprice - WagonCaptive SportCavalierCavalier - ConvertibleCavalier - WagonCelebrityCelebrity - WagonChevelleChevetteCheyenneCobaltColoradoCorsicaCorvairCorvetteCorvette - ConvertibleEl CaminoEquinoxExpressHHRImpalaKODC4500LuminaLUVMalibuMetroMonte CarloNovaPickupPickup (C-K Series)Pickup (R-V Series)PrizmS-10 PickupScottsdaleSierraSilveradoSilverado 1500Silverado 2500Silverado 3500Silverado HybridSportVanSprintSSRSuburbanTahoeTrackerTrailblazerUplanderVanVentureZ-28Z-71300AspenCirrusConcordeConquestCrossfireEagle Vision TSIFifth AvenueGrand VoyagerImperialLandauLaserLe BaronLe Baron - ConvertibleLe Baron - WagonLe Baron GTSLHSLXIManhattanNeonNew YorkerPacificaPT CruiserSebringTC by MaseratiTouring CoupeTown & CountryVoyagerCharade800AriesAries - WagonAvengerCaliberCaravanChallengerChargerColtColt VistaConquestDakotaDartDaytonaDiplomatDurangoDynastyGrand CaravanIntrepidJourneyLancerMagnumMini Ram VanMonacoNeonNitrpOmniPickup (D-Series)Pickup (D-Series)RaiderRam 1500Ram 2500Ram 3500Ram 50 PickupRam PickupRam SRTRam VanRamchargerRampageReliantShadowSpiritSportsmanSprinterSt. RegisStealthStratusSVVan (B-Series)ViperWagon (D-Series)MedallionMedallion WagonPremierSummitTalonVisionWagonAerostarAspireBroncoBronco IIClub WagonContourCougarCourierCrown VictoriaE-150Econoline VanEdgeEscapeEscape HybridEscortEscort - WagonE-Series VanExcursionEXP / EscortExpeditionExplorerF100F-150F-250F-350F-450FairmontFalconFestivaFive HundredFlexFocusFreestarFreestyleFusionGranadaGTLong box PickupLTDLTD Crown VictoriaMaverickMetroModel AModel TMustangMustang - ConvertiblePickup (F-Series)PintoProbeRancheroRangerTaurusTaurus - WagonTempoThunderbirdTorinoWindstarZX2MetroPrizmSpectrumStormTrackerAcadiaAstro VanCanyonDenaliEnvoyJimmy - LargeJimmy - SmallPickup (C-K Series)Pickup (R-V Series)RallyS-15 PickupSafariSavanaSierraSierra 1500Sierra 2500Sierra 3500Sierra DenaliSierra HybridSonomaStar CraftSuburbanSycloneTOPC4500TyphoonVanduraYukonAccordAccord HybridCivicCivic HybridCivic WagonCR-VCRXDel SolElementEV1FitInsightMotorcycleOdysseyPassportPilotPreludeRidgelineS2000AccentAzeraElantraEntourageExcelS CoupeSanta FeSonataTiburonTucsonVeracruzXG300AscenderEX37FX37G20TG25G35I 30I-280I35I-350J30M30N30Q45Q50Q60Q70QX4QX50QX60QX70QX80AmigoAscenderI-290I-370I-MarkImpulsePickupRodeoTrooperVehicrossF-TypeS-TypeXFXJ5XJ6XJ8XJSXJ-SeriesXK8XK-SeriesX-TypeCompassCherokeeCJ5CJ8ComancheCommanderGrand CherokeeGrand LaredoGrand WagoneerLaredoLibertyPatriotRenegadeScramblerWagoneerWillysWranglerAmantiCadenzaOptimaRioRio5RondoSedanSedonaSephiaSorentoSpectraSpectra5SportageCT HybridESES HybridES 300ES200ES250F-PerformanceGSGS HybridGS300GS400GS430GXGX470ISIS300LFALSLS HybridLS200LS400LS430LXLX470RXRX HybridRX300RX350SCSC300SC400SC430BlackwoodContinentalLSMark IVMark LTMark VMark VIIMark VIIIMKXMKZNavigatorTown CarVersaillesZephyr2200 Pickup2600 Pickup323323 Wagon626929B2000B2500B3000B4000 PickupB-Series PUCX-7CX-9GLCGTUM6Mazda3MAZDA5Mazda6MAZDASPEEDMiataMP3MPVMPV WagonMX-3MX-5 MiataMX-6NavajoProtégéRX-10 Anniversary EditionRX-6RX-7 ConvertibleRX-7 GXLRX-7 SERX-7 TurboRX-8Tribute190200 Series240260280 SL300300 SE - Wagon300 Series3000360400 Series420 SEL450500500 SC560560 Convertible600 SELC220C230C240C280C320C-ClassCL-ClassCLK320CLK500CLK-ClassCLS-ClassE300E320E500E550E-ClassG-ClassGL-ClassM-ClassML-ClassML320ML430ML500ML55R-ClassS320S500S-ClassSL500SL560SL-ClassSLK230SLK-ClassSLR-McClarenCapriCougarGrand MarquisLynxMarauderMarinerMariner HybridMarquis - WagonMilanMontegoMontereyMountaineerMystiqueSableSable - WagonTopazTracerVillagerScorpioXR4Ti3000 GTChariotColtCordiaDiamanteEclipseEclipse-SpyderEndeavorGalantLancerLancer EvolutionMighty maxMirageMonteroOutlanderPickupPrecisRaiderSigmaSpace WagonStarionTrediaVanWagon200 SX2000 NX240 SX240 Z280 Z280ZX300 ZX350Z810AltimaArmadaB210FrontierGT-9MaximaMaxima WagonMuranoPathfinderPickupPulsar NXQuestRogueSentraSentra WagonStanzaStanza WagonTitanVanVersaXterra88 Royale98 RegencyAleroAuroraBravadaCalaisCieraCustom CruiserCutlass SupremeDelta 88FirenzaIntrigueOmegaSilhouetteToronadoTouring SedanTrofeo405505505 WagonAcclaimArrowBelvedereBreezeCaravelleChampColtColt - WagonColt VistaConquestDusterGran FuryHorizonLaserNeonProwlerReliant KReliant WagonSapporoScampSundanceTourismoTown & CountryTraildusterVoyager100060006000 STE6000 STE Wagon6000 WagonAztecBonneville LEBonneville SEBonneville SSECatalinaFieroFirebirdG5G6G8Grand AmGrand PrixGrand SportGTOJ2000Le MansMontanaParisiennePhoenixSafari WagonSolsticeSunbirdSunbird - ConvertibleSunbird - WagonSunfireSunfire - ConvertibleTorrentTrans AmTransSportVibe356C911914918 Spyder924928944BoxterCarreraCayenneCayman4WD WagonHSE 4.63896338965900900 Convertible9000900S9-2X93 SE959-7XAstraAuraIonL100L200LS1LS2OutlookRelaySC2SCISkySL1SL2SWVue825B9 TribecaBajaBratDLDL WagonForesterGLGL WagonGL-10GL-10 WagonImprezaJusty691LegacyLoyaleOutbackOutback ImprezaOutback LegacyRT-6 CoupeRXTribecaWRXXV CrosstrekAerioBanditEsteemForenzaGrand VitaraMarauderRenoSamuraiSamurai ConvertibleSidekickSX4TrooperVeronaVitaraXL-74 Runner4 x 44x2 TruckAvalonCamryCamry HybridCamry WagonCelicaCelica ConvertibleCorollaCorolla SportCorolla WagonCoronaCressidaEchoFJ CruiserHighlanderHighlander HybridLand CruiserMatrixMR2PaseoPickupPreviaPriusRAV4ScionSequoiaSiennaSolaraStarletSupraT100TacomaTercelTercel WagonTundraVanVenzaYarisBeetleCabrioCabriolet ConvertibleCorradoDasherEoSEurovanFoxFox WagonGLIGolfGTIJettaKarmen GhiaNew BeetlePassatPhaetonQuantumQuantum WagonR32RabbitRabbit PickupSciroccoThingTouaregTrekType 3Vanagon CamperVanagon GL240240 Wagon244260540740 GLS740 Wagon760760 Wagon765780850 GLT Wagon850T940 GL960960 WagonC30C40C70F80S40S60S70S80S90V50V70X SeriesXC70XC90GVGVLGVSGVXSpyderX19Dyna Low RiderElectraglideFatboyFlthciHeritage ClassicSoftail FXCB 750CBR F4IEliteGold WingShadowSilver Wing3000K2750NinjaDiscoveryFreelanderLR2LR3Range RoverRoadsterFeragoFZRMaximViragoMetropolitanTV1751000LanosLantraLeganzaNubiraCooperTCxAxBxCxDVespaBlastCycloneFireboltLightning748SV650SH1H2H2-SUTH3fortwoCoupeSedanModel SRoadsterThird CarThird Cars YearThird Cars MakeChoose Make...AcuraAlfa RomeoAMCAudiAvantiAustin HealeyBentleyBMWBuickCadillacChevroletChryslerDaewooDaihatsuDodgeEagleFerrariFiatFordGeoGMCHondaHummerHyundaiInfinitiIsuzuJaguarJeepKiaLand RoverLexusLincolnMazdaMC-BMWMC-BuellMC-DucatiMC-Harley DavidsonMC-HondaMC-KawasakiMC-LambrettaMC-PiaggioMC-SuzukiMC-YamahaMercedesMercuryMerkurMGMiniMitsubishiMorris-MinorNashNissanOldsmobileOther DomesticOther ForeignPeugeotPlymouthPontiacPorscheRange RoverSaabSaturnScionSmartSterlingSubaruSuzukiTeslaToyotaVolkswagenVolvoWinnebagoYugoThird Cars ModelChoose Model...CLCL 3.0ILXIntegraLegendMDXNSXRLRLXRDKRSXSLXTLTSXVigorZDXMilanoSpiderAllianceConcordEagle TalonEncoreJavelinSpirit100 Series100 Series - Wagon200 Series4000500 Series - Wagon5000500080 Series90 SeriesA3A4A6A7A8AllroadCabrioletCoupeGTQ3Q5Q7QuattroR8RS4RS5S1S4S5S6S7S8SQ5TTTTRSTTSV8 Quattro1 Series3 Series3.0SI318 Series323325i - Convertible325i Series328i Series330i Series4 Series5 Series525i Series528 Series530 Series535i Series540I6 Series6336357 Series735i Series7408 SeriesActive HybridAlpina B7B7C3M SeriesM3M5M6X3X5Z3Z4BuickCenturyCentury - WagonElectra - WagonEncoreEstate-WagonLaCrosseLe SabreLe Sabre - WagonLucernePark AvenueRainierReattaRegalRendezvousRivieraRoadmasterSableSkyhawkSkyhawk - WagonSkylarkSomersetTerrazaTransportUltraWildcatAllanteBroughamCateraCimarronCTSDeVilleDTSEl DoradoELREscaladeFleetwoodSevilleSRXSTSSTXXLR1500Astro VanAvalancheAveoBelairBerettaBlazer - LargeBlazer - SmallCamaroCamaro - ConvertibleCamaro - IROC ConvertibleCamaro - IROC ZCapriceCaprice - WagonCaptive SportCavalierCavalier - ConvertibleCavalier - WagonCelebrityCelebrity - WagonChevelleChevetteCheyenneCobaltColoradoCorsicaCorvairCorvetteCorvette - ConvertibleEl CaminoEquinoxExpressHHRImpalaKODC4500LuminaLUVMalibuMetroMonte CarloNovaPickupPickup (C-K Series)Pickup (R-V Series)PrizmS-10 PickupScottsdaleSierraSilveradoSilverado 1500Silverado 2500Silverado 3500Silverado HybridSportVanSprintSSRSuburbanTahoeTrackerTrailblazerUplanderVanVentureZ-28Z-71300AspenCirrusConcordeConquestCrossfireEagle Vision TSIFifth AvenueGrand VoyagerImperialLandauLaserLe BaronLe Baron - ConvertibleLe Baron - WagonLe Baron GTSLHSLXIManhattanNeonNew YorkerPacificaPT CruiserSebringTC by MaseratiTouring CoupeTown & CountryVoyagerCharade800AriesAries - WagonAvengerCaliberCaravanChallengerChargerColtColt VistaConquestDakotaDartDaytonaDiplomatDurangoDynastyGrand CaravanIntrepidJourneyLancerMagnumMini Ram VanMonacoNeonNitrpOmniPickup (D-Series)Pickup (D-Series)RaiderRam 1500Ram 2500Ram 3500Ram 50 PickupRam PickupRam SRTRam VanRamchargerRampageReliantShadowSpiritSportsmanSprinterSt. RegisStealthStratusSVVan (B-Series)ViperWagon (D-Series)MedallionMedallion WagonPremierSummitTalonVisionWagonAerostarAspireBroncoBronco IIClub WagonContourCougarCourierCrown VictoriaE-150Econoline VanEdgeEscapeEscape HybridEscortEscort - WagonE-Series VanExcursionEXP / EscortExpeditionExplorerF100F-150F-250F-350F-450FairmontFalconFestivaFive HundredFlexFocusFreestarFreestyleFusionGranadaGTLong box PickupLTDLTD Crown VictoriaMaverickMetroModel AModel TMustangMustang - ConvertiblePickup (F-Series)PintoProbeRancheroRangerTaurusTaurus - WagonTempoThunderbirdTorinoWindstarZX2MetroPrizmSpectrumStormTrackerAcadiaAstro VanCanyonDenaliEnvoyJimmy - LargeJimmy - SmallPickup (C-K Series)Pickup (R-V Series)RallyS-15 PickupSafariSavanaSierraSierra 1500Sierra 2500Sierra 3500Sierra DenaliSierra HybridSonomaStar CraftSuburbanSycloneTOPC4500TyphoonVanduraYukonAccordAccord HybridCivicCivic HybridCivic WagonCR-VCRXDel SolElementEV1FitInsightMotorcycleOdysseyPassportPilotPreludeRidgelineS2000AccentAzeraElantraEntourageExcelS CoupeSanta FeSonataTiburonTucsonVeracruzXG300AscenderEX37FX37G20TG25G35I 30I-280I35I-350J30M30N30Q45Q50Q60Q70QX4QX50QX60QX70QX80AmigoAscenderI-290I-370I-MarkImpulsePickupRodeoTrooperVehicrossF-TypeS-TypeXFXJ5XJ6XJ8XJSXJ-SeriesXK8XK-SeriesX-TypeCompassCherokeeCJ5CJ8ComancheCommanderGrand CherokeeGrand LaredoGrand WagoneerLaredoLibertyPatriotRenegadeScramblerWagoneerWillysWranglerAmantiCadenzaOptimaRioRio5RondoSedanSedonaSephiaSorentoSpectraSpectra5SportageCT HybridESES HybridES 300ES200ES250F-PerformanceGSGS HybridGS300GS400GS430GXGX470ISIS300LFALSLS HybridLS200LS400LS430LXLX470RXRX HybridRX300RX350SCSC300SC400SC430BlackwoodContinentalLSMark IVMark LTMark VMark VIIMark VIIIMKXMKZNavigatorTown CarVersaillesZephyr2200 Pickup2600 Pickup323323 Wagon626929B2000B2500B3000B4000 PickupB-Series PUCX-7CX-9GLCGTUM6Mazda3MAZDA5Mazda6MAZDASPEEDMiataMP3MPVMPV WagonMX-3MX-5 MiataMX-6NavajoProtégéRX-10 Anniversary EditionRX-6RX-7 ConvertibleRX-7 GXLRX-7 SERX-7 TurboRX-8Tribute190200 Series240260280 SL300300 SE - Wagon300 Series3000360400 Series420 SEL450500500 SC560560 Convertible600 SELC220C230C240C280C320C-ClassCL-ClassCLK320CLK500CLK-ClassCLS-ClassE300E320E500E550E-ClassG-ClassGL-ClassM-ClassML-ClassML320ML430ML500ML55R-ClassS320S500S-ClassSL500SL560SL-ClassSLK230SLK-ClassSLR-McClarenCapriCougarGrand MarquisLynxMarauderMarinerMariner HybridMarquis - WagonMilanMontegoMontereyMountaineerMystiqueSableSable - WagonTopazTracerVillagerScorpioXR4Ti3000 GTChariotColtCordiaDiamanteEclipseEclipse-SpyderEndeavorGalantLancerLancer EvolutionMighty maxMirageMonteroOutlanderPickupPrecisRaiderSigmaSpace WagonStarionTrediaVanWagon200 SX2000 NX240 SX240 Z280 Z280ZX300 ZX350Z810AltimaArmadaB210FrontierGT-9MaximaMaxima WagonMuranoPathfinderPickupPulsar NXQuestRogueSentraSentra WagonStanzaStanza WagonTitanVanVersaXterra88 Royale98 RegencyAleroAuroraBravadaCalaisCieraCustom CruiserCutlass SupremeDelta 88FirenzaIntrigueOmegaSilhouetteToronadoTouring SedanTrofeo405505505 WagonAcclaimArrowBelvedereBreezeCaravelleChampColtColt - WagonColt VistaConquestDusterGran FuryHorizonLaserNeonProwlerReliant KReliant WagonSapporoScampSundanceTourismoTown & CountryTraildusterVoyager100060006000 STE6000 STE Wagon6000 WagonAztecBonneville LEBonneville SEBonneville SSECatalinaFieroFirebirdG5G6G8Grand AmGrand PrixGrand SportGTOJ2000Le MansMontanaParisiennePhoenixSafari WagonSolsticeSunbirdSunbird - ConvertibleSunbird - WagonSunfireSunfire - ConvertibleTorrentTrans AmTransSportVibe356C911914918 Spyder924928944BoxterCarreraCayenneCayman4WD WagonHSE 4.63896338965900900 Convertible9000900S9-2X93 SE959-7XAstraAuraIonL100L200LS1LS2OutlookRelaySC2SCISkySL1SL2SWVue825B9 TribecaBajaBratDLDL WagonForesterGLGL WagonGL-10GL-10 WagonImprezaJusty691LegacyLoyaleOutbackOutback ImprezaOutback LegacyRT-6 CoupeRXTribecaWRXXV CrosstrekAerioBanditEsteemForenzaGrand VitaraMarauderRenoSamuraiSamurai ConvertibleSidekickSX4TrooperVeronaVitaraXL-74 Runner4 x 44x2 TruckAvalonCamryCamry HybridCamry WagonCelicaCelica ConvertibleCorollaCorolla SportCorolla WagonCoronaCressidaEchoFJ CruiserHighlanderHighlander HybridLand CruiserMatrixMR2PaseoPickupPreviaPriusRAV4ScionSequoiaSiennaSolaraStarletSupraT100TacomaTercelTercel WagonTundraVanVenzaYarisBeetleCabrioCabriolet ConvertibleCorradoDasherEoSEurovanFoxFox WagonGLIGolfGTIJettaKarmen GhiaNew BeetlePassatPhaetonQuantumQuantum WagonR32RabbitRabbit PickupSciroccoThingTouaregTrekType 3Vanagon CamperVanagon GL240240 Wagon244260540740 GLS740 Wagon760760 Wagon765780850 GLT Wagon850T940 GL960960 WagonC30C40C70F80S40S60S70S80S90V50V70X SeriesXC70XC90GVGVLGVSGVXSpyderX19Dyna Low RiderElectraglideFatboyFlthciHeritage ClassicSoftail FXCB 750CBR F4IEliteGold WingShadowSilver Wing3000K2750NinjaDiscoveryFreelanderLR2LR3Range RoverRoadsterFeragoFZRMaximViragoMetropolitanTV1751000LanosLantraLeganzaNubiraCooperTCxAxBxCxDVespaBlastCycloneFireboltLightning748SV650SH1H2H2-SUTH3fortwoCoupeSedanModel SRoadster Job TitlePlease Choose...Account ManagerAccountantAdministrative AssistantAdministratorAdvisorAgent / BrokerAnalystArchitectArtist/EntertainerAssociateAttorneyBankerBuyerCAO (Chief Administrative Officer)CEO (Chief Executive Officer) / PresidentCFO (Chief Financial Officer)Chef / CookChieg EngineerCIO / CTO (Chief Information/Technology Officer)ClerkCMO (Chief Marketing Officer)ConsultantContractorControllerCOO (Chief Operations Officer)CoordinatorCounty EmployeeData EntryDaycare / HomecareDirectorDistributor / CourierDriverEngineerFarmerFire FighterGM (General Manager)Hair Dresser / StylistIllustratorInspectorJanitor / CustodianLaborerLibrarianManagerMechanicMusicianNurseOperator / DispatcherOwnerParalegalPeace OfficerPharmacistPhotographer / VideographerPhysicianPhysician's AssistantPriestProducerProgrammerRepresentativeScientistSocial workerSpecialistSupervisor / LeaderSurgeonTeacherTechnicianTelemarketer / RecruiterTemporary WorkerTherapist / CounselorTrainerTranslatorVenture CapitalistVeterinarianVPWaiter / WaitressWebmasterWriterUnemployed - DisabledUnemployed - HomemakerUnemployed - RetiredUnemployed - StudentUnemployed - UnspecifiedJob Department / FunctionPlease Choose...Accounting/FinanceAdministrationAgriculturalArchitectureArmed ForcesArt/Entertainment/TheatreAutomotiveBanking/InvestmentBusiness DevelopmentBusiness Development: Internet: E- CommerceCommunications/TelecommunicationsConstructionConsultingConsulting: ComputerConsulting: EngineeringConsulting: FinanceConsulting: MarketingCreditCustomer ServiceDaycare / HomecareEducation: AdministrationEducator: (obtain Grade Level)Educator: 7-12Educator: College/UniversityEducator: Pre-6Educator: Substitute (any level)EngineeringEngineering: AerospaceEngineering: CivilEngineering: CommunicationsEngineering: ComponentsEngineering: DesignEngineering: ElectricalEngineering: EnvironmentalEngineering: HardwareEngineering: ManufacturingEngineering: MechanicalEngineering: Product Development/R&DEngineering: Project LeadEngineering: ScientificEngineering: SoftwareEngineering: SystemsEngineering: TestExecutiveExecutive: Business DevelopmentExecutive: Corporate/Public RelationsExecutive: Customer ServiceExecutive: EngineeringExecutive: FinanceExecutive: Human ResourcesExecutive: InternetExecutive: Legal AffairsExecutive: Marketing/SalesExecutive: MedicineExecutive: MISExecutive: OperationsExecutive: OwnerFacilitiesFINANCEFire FightingFood ServicesGovernment AgenciesGovt: PlanningGraphics/CAD/CAMGraphics: Non-Computer RelatedHospitalityHuman ResourcesInsuranceInterior DesignInternet/WWW: DevelopmentInternet: WWWIT (Information Technology)IT: Database/Data ProcessingIT: E-CommerceIT: NetworkingIT: Tech SupportLaw EnforcementLegalMarketingMarketing ResearchMarketing: AdvertisingMarketing: Communications/WorldwideMarketing: InternetMarketing: Product DevelopmentMarketing: Sales/ChannelMedia/Audio/VideoMedicine: AdministrationMedicine: Allergy/Ear/Nose/ThroatMedicine: AnesthesiologyMedicine: CardiologyMedicine: Chiropractic/HomeopathyMedicine: Cosmetic/Aesthetic/ReconstructiveMedicine: DentistryMedicine: DermatologyMedicine: EmergencyMedicine: EndocrinologyMedicine: GastroenterologyMedicine: GeriatricMedicine: GP/FP/IMMedicine: HematologyMedicine: ImmunologyMedicine: LaboratoryMedicine: NeurologyMedicine: OB/GYNMedicine: OncologyMedicine: OphthalmologyMedicine: OptometryMedicine: Orthopedic/Osteopathy/RheumatologyMedicine: PediatricMedicine: PharmacyMedicine: Physical TherapyMedicine: PodiatryMedicine: Psychiatry/PsychologyMedicine: RadiologyMedicine: RheumatologyMedicine: UrologyMedicine: VeterinaryNon ProfitOperationsPhotography / FilmPrinting/PressPublic RelationsPurchasingQuality AssuranceReal EstateReligionSalesScienceSecurity/Risk ManagementServiceShippingTelemarketingTrainingTransportationTravelVenture CapitalUNEMPLOYEDWriter: TechnicalCompanyEmployeesPlease Choose...10,000 or more5,000 - 9,9992,000 - 4,9991,000 - 1,999500 - 999100 - 49950 - 9910 - 49Less than 10Company Annual RevenuePlease Choose...$1 Billion$500 M to 1 Billion$25 to 499 Million$100 to 249 Million$50 to 99 Million$25 to 49 Million$10 to 24 Million$1 to 9 Million< $1 MillionCompany IndustryPlease Choose...A: Agriculture, Forestry, and FishingB: MiningC: ConstructionD: ManufacturingE: Transportation, Communications, Electric, Gas, & Sanitary ServicesF: Wholesale TradeG: Retail TradeH: Finance, Insurance, and Real EstateI: ServicesCompany Specific IndustryPlease Choose...01: Agricultural Production Crops02: Agriculture production livestock and animal specialties07: Agricultural / Landscaping Services08: Forestry09: Fishing, hunting, and trapping10: Metal Mining12: Coal Mining13: Oil And Gas Extraction14: Mining And Quarrying Of Nonmetallic Minerals, Except Fuels15: Building Construction General Contractors And Operative Builders16: Heavy Construction Other Than Building Construction Contractors17: Construction Special Trade Contractors20: Food And Kindred Products21: Tobacco Products22: Textile Mill Products23: Apparel And Other Finished Products Made From Fabrics24: Lumber And Wood Products, Except Furniture25: Furniture And Fixtures26: Paper And Allied Products27: Printing, Publishing, And Allied Industries28: Chemicals And Allied Products2834: Pharmaceutical Preparations / Biotech29: Petroleum Refining And Related Industries30: Rubber And Miscellaneous Plastics Products31: Leather And Leather Products32: Stone, Clay, Glass, And Concrete Products33: Primary Metal Industries34: Fabricated Metal Products, Excl. Machinery/Transportation Equip35: Industrial And Commercial Machinery3571: Electronic Computers3572: Computer Storage Devices3575: Computer Terminals3577: Computer Peripheral Equipment, Not Elsewhere Classified3578: Calc. and Accounting Machines, Excl. Electronic Computers3579: Office Machines, Not Elsewhere Classified36: Elec. And Elec.Equip. And Components, Excl. Computer Equip3651: Household audio and video equipment3661: Telephone and telegraph apparatus3663: Radio & TV communications equipment3669: Communications equipment, nec3674: Semiconductors and related devices37: Transportation Equipment38: Meas/Analyz/Controlling Insts/Photo/Med/Opti/Watches/Clocks39: Miscellaneous Manufacturing Industries40: Railroad Transportation41: Local/Suburban Transit And Interurban Highway Passenger Trans.42: Motor Freight Transportation And Warehousing43: United States Postal Service44: Water Transportation45: Transportation By Air46: Pipelines, Except Natural Gas47: Transportation Services48: Communications - Radio / Telephone / TV / Cable / Satellite49: Electric, Gas, And Sanitary Services50: Wholesale Trade-durable Goods51: Wholesale Trade-non-durable Goods52: Building Materials/Hardware/Garden Supply/Mobile Home Dealers53: General Merchandise Stores54: Food Stores55: Automotive Dealers And Gasoline Service Stations56: Apparel And Accessory Stores57: Home Furniture, Furnishings, And Equipment Stores58: Eating And Drinking Places59: Miscellaneous Retail60: Depository Institutions61: Non-depository Credit Institutions62: Security/Commodity Brokers, Dealers, Exchanges, And Services63: Insurance Carriers64: Insurance Agents, Brokers, And Service65: Real Estate67: Holding And Other Investment Offices70: Hotels, Rooming Houses, Camps, And Other Lodging Places72: Personal Services73: Business Services7311: Advertising Agencies7312: Outdoor Advertising Services7313: Radio, Television, and Publishers Advertising Representatives7319: Advertising, NEC7371: Computer Programming Services7372: Prepackaged Software7373: Computer Systems Integrator7374: Computer & Data Processing Services7375: Computerized Information Retrieval Services7377: Computer Rental and Leasing7378: Computer Maintenance and Repair7379: Computer Related Services, NEC75: Automotive Repair, Services, And Parking76: Miscellaneous Repair Services78: Motion Pictures79: Amusement And Recreation Services80: Health Services81: Legal Services82: Educational Services83: Social Services84: Museums, Art Galleries, And Botanical And Zoological Gardens86: Membership Organizations8711: Engineering Services8712: Architectural Services8713: Surveying Services8721: Accounting, Auditing, and Bookkeeping Services8731: Commercial Physical and Biological Research8732: Commercial Economic, Sociological, and Educational Research8733: Noncommercial Research Organizations8734: Testing Laboratories8741: Management Services8742: Management Consulting Services8743: Public Relations Services8744: Facilities Support Management Services8748: Business Consulting Services, Not Elsewhere Classified88: Private Households89: Miscellaneous ServicesBusiness Travel Per YearPlease Choose...None1 to 3 Times per year4 to 6 Times per year7 to 12 Times per yearOver 12 times per yearComputer at Work: Apple / Macintosh Other PC / Compatible None Home Entertainment: None Home Theater Blu-Ray Disc Player HD-DVD Player TiVo/DVR Netflix Roku Apple TV HDTV LCD TV LED TV Plasma TV Projection TV Smart TV/Connected TV Wireless-Portable Speakers Video Game Systems None PC/Online Games ONLY - NO CONSOLE Atari GameBoy/GameBoy Advance N 64 NEC Turbografx-16 N-Gage Nintendo DS Nintendo DSi Nintendo DS Lite Nintendo Gamecube Nintendo Revolution Nintendo Wii SEGA Sega Dreamcast Sega Genesis Sony Playstation (PS1) Sony Playstation 2 (PS2) Sony Playstation 3 (PS3) Sony PSP X Box X Box 360 Other Brand(s) PC Games CD_ROM Games On-Line / Downloadable Games Music Genres Adult Contemporary Alternative Blues/R&B Classic Rock Classical Country Jazz News Talk Oldies Rap / Hip Hop Religious / Gospel Rock Spanish Sports Talk Top 40 / Pop Other Alcoholic Beverages None Beer Wine Champagne Bourbon Gin Rum Single Malt Scotch / Whisky Scotch / Whisky (Non-Single Malt) Vodka Liquor (All Others) Non-Alcoholic CigarettesYesNo Mobile Phone: (Please select your PRIMARY Mobile Phone from the list)Mobile Phone: (Please select your PRIMARY Mobile Phone from the list)Apple iPhone 4x/5xApple iPhone 6x/7xApple iPhone 8x/XxApple iPhone 11xGoogle PixelHTC Smartphone (Android)HTC Smartphone (Windows)LG Smartphone (Android)LG Smartphone (Windows)Motorola Smartphone (Android)Motorola Smartphone (Windows)Nokia Smartphone (Windows)Samsung Galaxy S(x)Samsung A(x)Samsung Note(x)Samsung FoldSamsung Z FlipSamsung Smartphone (Other Android)Samsung Smartphone (Other Windows)Sony Smartphone (Android)Sony Smartphone (Windows)OTHER Smartphone (Android)OTHER Smartphone (Windows)Cell Phone (Basic - NON-Smartphone)NO CELL PHONEMobile Technology iPad iPad 2 iPad (3rd Gen) iPad (4th Gen) iPad Mini Tablet (Android) Tablet (Windows) Tablet (Other) Kindle Fire (Tablet) Nook (Tablet) Laptop Netbook (small portable laptop) iPod / MP3 Player eReader - Kindle/Nook/Other (NON-Tablet) Digital Camcorder Digital Camera GPS / Navigation System XM Radio / Sirius Radio MiFi (Mobile Hotspot) Social-Networking Websites / Forums ACTIVE account: Bebo BlackPlanet Classmates.com Facebook Flixter Friendster Google+ Habbo hi5 imeem Instagram Last.fm LinkedIn LiveJournal Meetup Multiply MyLife MySpace myYearbook Ning Orkut PerfSpot Pinterest Reunion.com Tagged.com Tumblr Twitter Windows Live Spaces Xanga Which of the following ONLINE SHOPPING payment methods have you ever used?: Bill Me Later CashEdge Credit Card Debit Card Gift Card Certification Google Checkout PayPal Pay By Check Popmoney I REFUSE TO SHOP ONLINE Do you have a registered ONLINE PAYMENT account PAST or PRESENT with any of the following companies?: Amazon Bill Me Later Cashedge Google Checkout PayPal Popmoney I REFUSE TO PAY ONLINE Do you belong to any Local or National Clubs, Associations or Organizations?:YesNoLifestyles/Activities: Belong to Gym Charitable Donations Community / Public Volunteerism Competitive Sports Do-it-Yourself Home Improvement Frequent Leisure / Vacation Home Vegetable Gardening Photography Reading Recreational Arts Regular Outdoor Activities Religious Shop at Natural / Organic Food Stores Vitamin / Supplements Smart Home Security products Smart Kitchen Appliances Smart Lighting Smart Thermostat Centralized Control of Smart household products Solar Panels Electric Vehicle Uber / Lyft (Passenger) Uber / Lyft (Driver) Attitudes (Aware and/or Active): Animal Rights Current Events Environment New Technology Politics Prefer to be at Home Prefer to be Out on the Town Health Conditions / Procedures: (Hold down the Ctrl or Command key while clicking to make multiple selections)Allergies-AnimalsAllergies-FoodAllergies-Insects / Dust MitesAllergies-MedicineAllergies-MoldAllergies-Seasonal / PollenAnxietyBack Pain / Joint PainBlind or Visually ImpairedColorblindBone BiopsiesCancerCardiovascular / Heart DiseaseCrohn's / Ulcerative ColitisDepressionDermatitis or EczemaDiabetes (Type 1)Diabetes (Type 2)Diabetes Treatment-Insulin Injections ONLYDiabetes Treatment-Oral Meds ONLYDiabetes Treatment-BOTH Injection & Oral MedsDiabetes Treatment-Insulin PumpDiabetes Treatment-Diet-Exercise ONLYDeaf or Hearing ImpairedDigestive Disorders / Gastrointestinal ConditionsFibromyalgia / MyositisGlaucomaHepatitis AHepatitis BHepatitis CHigh Blood Pressure / HypertensionLow Blood Pressure / HypotensionHigh Cholesterol / HyperlipidemiaHIV or AIDSIncontinenceInsomniaKidney Disease or TransplantMalaise and FatigueMigrainesMultiple Sclerosis (MS)Nail fungusObesityOsteoarthritisOsteoporosisOveractive BladderPsoriasisRespiratory Conditions / Asthma or COPDRestless Leg Syndrome (RLS)Rheumatoid ArthritisRosaceaShinglesSleep ApneaThyroid Disease (Hyper or Hypothyroidism)Health Insurance Type:Please Choose...UninsuredInsured - Employer ProvidedInsured - Individually PurchasedInsured - Medicare / Medicaid / Medi-CalInsured - Other Gov't ProvidedInsured - Healthy Families / First 5Insured - Other Subsidized Insurance for ChildrenHandedness:Please Choose...Right-HandedLeft-HandedAmbidextrousNot Applicable Would you like to submit information for a spouse / partner living with you*YesNo Second Adult's Referred By...Referred By...Nichols Research EmployeeFriend/Family/Word of MouthCraigslistEventFacebookFindFocusGroupsFlyerFresno Life MagazineBusiness CardTVTwitterVintage Days-Fresno StateYelpOtherUpdating InformationSecond Adult's Referred By NameSecond Adult’s NameSecond Adult's First Name*Second Adult's Last Name*Second Adult's Gender*MaleFemaleSecond Adult's Date of Birth* Date Format: MM slash DD slash YYYY TelephoneSecond Adult's Home Phone*Second Adult's Work PhoneSecond Adult's Cell PhoneSecond Adult's Cell CarrierPlease Choose...AllTelAT&T / CingularBoostCricketMetroPCSNextelQWESTSprintPCST-MobileVerizon WirelessVirgin MobileSecond Adults Ok to text OK to Text (short text notification about upcoming projects) Second Adult's Email (hide) Second Adult's Email (Primary)* Second Adult's Voter RegistrationPlease Choose...DemocratRepublicanIndependentOther PartyNot a US CitizenNot RegisteredGreenLibertarianNo AffiliationSecond Adult's Marital Status*Please Choose...SingleMarriedDivorcedSeparatedWidow / WidowerOpposite Sex PartnerSame Sex PartnerRefusedSecond Adult's Sexual OrientationPlease Choose...HeterosexualGayLesbianBisexualTranssexualTransgenderSecond Adult's Education*Please Choose...Less Than High School GraduateHigh School Graduate / G.E.D.Vocational / TechnicalSome CollegeAssociates / 2-yr Degree4yr College DegreeGraduate SchoolSecond Adult's Race / Ethnic Background:*Race / Ethnic BackgroundAfrican / African AmericanArab / Middle EasternAsianSouth Asian / IndianCaucasianHispanic / LatinoNative AmericanPacific IslanderMulti RacialOtherSecond Adult's Employment Status*Please Choose...Full TimePart TimeSelf-EmployedUnemployedRetiredHomemakerStudentDisabled Second Adults Bi-Lingual?:YesNoSecond Adult speaks any of these languages?:ArabicChinese - CantoneseChinese - MandarinHindiHmongJapaneseKoreanLaotianPersianSpanishTagalogVietnamese Second Adult's Job TitlePlease Choose...Account ManagerAccountantAdministrative AssistantAdministratorAdvisorAgent / BrokerAnalystArchitectArtist/EntertainerAssociateAttorneyBankerBuyerCAO (Chief Administrative Officer)CEO (Chief Executive Officer)CFO (Chief Financial Officer)Chef / CookChieg EngineerCIO / CTO (Chief Information/Technology Officer)ClerkCMO (Chief Marketing Officer)ConsultantContractorControllerCOO (Chief Operations Officer)CoordinatorCounty EmployeeData EntryDaycare / HomecareDirectorDistributor / CourierDriverEngineerFarmerFire FighterGM (General Manager)Hair Dresser / StylistIllustratorInspectorJanitor / CustodianLaborerLibrarianManagerMechanicMusicianNurseOperator / DispatcherOwnerParalegalPeace OfficerPharmacistPhotographer / VideographerPhysicianPhysician's AssistantPriestProducerProgrammerRepresentativeScientistSocial workerSpecialistSupervisor / LeaderSurgeonTeacherTechnicianTelemarketer / RecruiterTemporary WorkerTherapist / CounselorTrainerTranslatorVenture CapitalistVeterinarianVPWaiter / WaitressWebmasterWriterUnemployed - DisabledUnemployed - HomemakerUnemployed - RetiredUnemployed - StudentUnemployed - UnspecifiedSecond Adult's Department / FunctionPlease Choose...Accounting/FinanceAdministrationAgriculturalArchitectureArmed ForcesArt/Entertainment/TheatreAutomotiveBanking/InvestmentBusiness DevelopmentBusiness Development: Internet: E- CommerceCommunications/TelecommunicationsConstructionConsultingConsulting: ComputerConsulting: EngineeringConsulting: FinanceConsulting: MarketingCreditCustomer ServiceDaycare / HomecareEducation: AdministrationEducator: (obtain Grade Level)Educator: 7-12Educator: College/UniversityEducator: Pre-6Educator: Substitute (any level)EngineeringEngineering: AerospaceEngineering: CivilEngineering: CommunicationsEngineering: ComponentsEngineering: DesignEngineering: ElectricalEngineering: EnvironmentalEngineering: HardwareEngineering: ManufacturingEngineering: MechanicalEngineering: Product Development/R&DEngineering: Project LeadEngineering: ScientificEngineering: SoftwareEngineering: SystemsEngineering: TestExecutiveExecutive: Business DevelopmentExecutive: Corporate/Public RelationsExecutive: Customer ServiceExecutive: EngineeringExecutive: FinanceExecutive: Human ResourcesExecutive: InternetExecutive: Legal AffairsExecutive: Marketing/SalesExecutive: MedicineExecutive: MISExecutive: OperationsExecutive: OwnerFacilitiesFINANCEFire FightingFood ServicesGovernment AgenciesGovt: PlanningGraphics/CAD/CAMGraphics: Non-Computer RelatedHospitalityHuman ResourcesInsuranceInterior DesignInternet/WWW: DevelopmentInternet: WWWLaw EnforcementLegalMarketingMarketing ResearchMarketing: AdvertisingMarketing: Communications/WorldwideMarketing: InternetMarketing: Product DevelopmentMarketing: Sales/ChannelMedia/Audio/VideoMedicine: AdministrationMedicine: Allergy/Ear/Nose/ThroatMedicine: AnesthesiologyMedicine: CardiologyMedicine: Chiropractic/HomeopathyMedicine: Cosmetic/Aesthetic/ReconstructiveMedicine: DentistryMedicine: DermatologyMedicine: EmergencyMedicine: EndocrinologyMedicine: GastroenterologyMedicine: GeriatricMedicine: GP/FP/IMMedicine: HematologyMedicine: ImmunologyMedicine: LaboratoryMedicine: NeurologyMedicine: OB/GYNMedicine: OncologyMedicine: OphthalmologyMedicine: OptometryMedicine: Orthopedic/Osteopathy/RheumatologyMedicine: PediatricMedicine: PharmacyMedicine: Physical TherapyMedicine: PodiatryMedicine: Psychiatry/PsychologyMedicine: RadiologyMedicine: RheumatologyMedicine: UrologyMedicine: VeterinaryMISMIS: Database/DataprocessingMIS: E-CommerceMIS: NetworkingMIS: Tech SupportNon ProfitOperationsPhotography / FilmPrinting/PressPublic RelationsPurchasingQuality AssuranceReal EstateReligionSalesScienceSecurity/Risk ManagementServiceShippingTelemarketingTrainingTransportationTravelVenture CapitalUNEMPLOYEDWriter: TechnicalSecond Adult's CompanySecond Adult's EmployeesPlease Choose...10,000 or more5,000 - 9,9992,000 - 4,9991,000 - 1,999500 - 999100 - 49950 - 9910 - 49Less than 10Second Adult's Company Annual RevenuePlease Choose...$1 Billion$500 M to 1 Billion$25 to 499 Million$100 to 249 Million$50 to 99 Million$25 to 49 Million$10 to 24 Million$1 to 9 Million< $1 MillionSecond Adult's Company IndustryPlease Choose...A: Agriculture, Forestry, and FishingB: MiningC: ConstructionD: ManufacturingE: Transportation, Communications, Electric, Gas, & Sanitary ServicesF: Wholesale TradeG: Retail TradeH: Finance, Insurance, and Real EstateI: ServicesSecond Adult's Company Specific IndustryPlease Choose...Agricultural Production CropsAgriculture production livestock and animal specialtiesAgricultural / Landscaping ServicesForestryFishing, hunting, and trappingMetal MiningCoal MiningOil And Gas ExtractionMining And Quarrying Of Nonmetallic Minerals, Except FuelsBuilding Construction General Contractors And Operative BuildersHeavy Construction Other Than Building Construction ContractorsConstruction Special Trade ContractorsFood And Kindred ProductsTobacco ProductsTextile Mill ProductsApparel And Other Finished Products Made From FabricsLumber And Wood Products, Except FurnitureFurniture And FixturesPaper And Allied ProductsPrinting, Publishing, And Allied IndustriesChemicals And Allied ProductsPharmaceutical Preparations / BiotechPetroleum Refining And Related IndustriesRubber And Miscellaneous Plastics ProductsLeather And Leather ProductsStone, Clay, Glass, And Concrete ProductsPrimary Metal IndustriesFabricated Metal Products, Excl. Machinery/Transportation EquipIndustrial And Commercial MachineryElectronic ComputersComputer Storage DevicesComputer TerminalsComputer Peripheral Equipment, Not Elsewhere ClassifiedCalc. and Accounting Machines, Excl. Electronic ComputersOffice Machines, Not Elsewhere ClassifiedElec. And Elec.Equip. And Components, Excl. Computer EquipHousehold audio and video equipmentTelephone and telegraph apparatusRadio & TV communications equipmentCommunications equipment, necSemiconductors and related devicesTransportation EquipmentMeas/Analyz/Controlling Insts/Photo/Med/Opti/Watches/ClocksMiscellaneous Manufacturing IndustriesRailroad TransportationLocal/Suburban Transit And Interurban Highway Passenger Trans.Motor Freight Transportation And WarehousingUnited States Postal ServiceWater TransportationTransportation By AirPipelines, Except Natural GasTransportation ServicesCommunications - Radio / Telephone / TV / Cable / SatelliteElectric, Gas, And Sanitary ServicesWholesale Trade-durable GoodsWholesale Trade-non-durable GoodsBuilding Materials/Hardware/Garden Supply/Mobile Home DealersGeneral Merchandise StoresFood StoresAutomotive Dealers And Gasoline Service StationsApparel And Accessory StoresHome Furniture, Furnishings, And Equipment StoresEating And Drinking PlacesMiscellaneous RetailDepository InstitutionsNon-depository Credit InstitutionsSecurity/Commodity Brokers, Dealers, Exchanges, And ServicesInsurance CarriersInsurance Agents, Brokers, And ServiceReal EstateHolding And Other Investment OfficesHotels, Rooming Houses, Camps, And Other Lodging PlacesPersonal ServicesBusiness ServicesAdvertising AgenciesOutdoor Advertising ServicesRadio, Television, and Publishers Advertising RepresentativesAdvertising, NECComputer Programming ServicesPrepackaged SoftwareComputer Systems IntegratorComputer & Data Processing ServicesComputerized Information Retrieval ServicesComputer Rental and LeasingComputer Maintenance and RepairComputer Related Services, NECAutomotive Repair, Services, And ParkingMiscellaneous Repair ServicesMotion PicturesAmusement And Recreation ServicesHealth ServicesLegal ServicesEducational ServicesSocial ServicesMuseums, Art Galleries, And Botanical And Zoological GardensMembership OrganizationsEngineering ServicesArchitectural ServicesSurveying ServicesAccounting, Auditing, and Bookkeeping ServicesCommercial Physical and Biological ResearchCommercial Economic, Sociological, and Educational ResearchNoncommercial Research OrganizationsTesting LaboratoriesManagement ServicesManagement Consulting ServicesPublic Relations ServicesFacilities Support Management ServicesBusiness Consulting Services, Not Elsewhere ClassifiedPrivate HouseholdsMiscellaneous ServicesSecond Adult's Business Travel Per YearPlease Choose...None1 to 3 Times per year4 to 6 Times per year7 to 12 Times per yearOver 12 times per yearSecond Adult's Computer at Work: Apple / Macintosh Other PC / Compatible None Second Adult's Music Genres Adult Contemporary Alternative Blues/R&B Classic Rock Classical Country Jazz News Talk Oldies Rap / Hip Hop Religious / Gospel Rock Spanish Sports Talk Top 40 / Pop Other Second Adult's Alcoholic Beverages None Beer Wine Champagne Bourbon Gin Rum Single Malt Scotch / Whisky Scotch / Whisky (Non-Single Malt) Vodka Liquor (All Others) Non-Alcoholic Second Adult's CigarettesYesNo Second Adult's Mobile Phone: (Please select your PRIMARY Mobile Phone from the list)Mobile Phone: (Please select your PRIMARY Mobile Phone from the list)Apple iPhone (Orig/3/3G/3GS)Apple iPhone 4/4SApple iPhone 5Apple iPhone 5sApple iPhone 5cBlackBerry SmartphoneHTC Smartphone (Android)HTC Smartphone (Windows)LG Smartphone (Android)LG Smartphone (Windows)Motorola Smartphone (Android)Motorola Smartphone (Windows)Nokia Smartphone (Windows)Samsung Galaxy S4Samsung Galaxy S III/S IISamsung Smartphone (Android)Samsung Smartphone (Windows)Sony Smartphone (Android)Sony Smartphone (Windows)OTHER Smartphone (Android)OTHER Smartphone (Windows)Palm Pre/Pre2/Pre3/Pixi SmartphoneSmartphone (Other)Cell Phone (Basic - NON-Smartphone)NO CELL PHONESecond Adult's Mobile Technology iPad iPad 2 iPad (3rd Gen) iPad (4th Gen) iPad Mini Tablet (Android) Tablet (Windows) Tablet (Other) Kindle Fire (Tablet) Nook (Tablet) Laptop Netbook (small portable laptop) iPod / MP3 Player eReader - Kindle/Nook/Other (NON-Tablet) Digital Camcorder Digital Camera GPS / Navigation System XM Radio / Sirius Radio MiFi (Mobile Hotspot) Second Adult's Social-Networking Websites / Forums ACTIVE account: Bebo BlackPlanet Classmates.com Facebook Flixter Friendster Google+ Habbo hi5 imeem Instagram Last.fm LinkedIn LiveJournal Meetup Multiply MyLife MySpace myYearbook Ning Orkut PerfSpot Pinterest Reunion.com Tagged.com Tumblr Twitter Windows Live Spaces Xanga Second Adult: Which of the following ONLINE SHOPPING payment methods have you ever used?: Bill Me Later CashEdge Credit Card Debit Card Gift Card Certification Google Checkout PayPal Pay By Check Popmoney I REFUSE TO SHOP ONLINE Second Adult: Do you have a registered ONLINE PAYMENT account PAST or PRESENT with any of the following companies?: Amazon Bill Me Later Cashedge Google Checkout PayPal Popmoney I REFUSE TO PAY ONLINE Second Adult: Do you belong to any Local or National Clubs, Associations or Organizations?:YesNoSecond Adult's Lifestyles/Activities: Belong to Gym Charitable Donations Community / Public Volunteerism Competitive Sports Do-it-Yourself Home Improvement Frequent Leisure / Vacation Home Vegetable Gardening Photography Reading Recreational Arts Regular Outdoor Activities Religious Shop at Natural / Organic Food Stores Vitamin / Supplements Smart Home Security products Smart Kitchen Appliances Smart Lighting Smart Thermostat Centralized Control of Smart household products Solar Panels Electric Vehicle Uber / Lyft (Passenger) Uber / Lyft (Driver) Second Adult's Attitudes (Aware and/or Active): Animal Rights Current Events Environment New Technology Politics Prefer to be at Home Prefer to be Out on the Town Second Adult's Health Conditions / Procedures: (Hold down the Ctrl or Command key while clicking to make multiple selections)Allergies-AnimalsAllergies-FoodAllergies-Insects/Dust MitesAllergies-MedicineAllergies-MoldAllergies-Seasonal/PollenAsthma or COPDBlind or Visually ImpairedBone BiopsiesDepressionDiabetes (Type 1)Diabetes (Type 2)Diabetes Treatment-Insulin Injections ONLYDiabetes Treatment-Oral Meds ONLYDiabetes Treatment-BOTH Injection & Oral MedsDiabetes Treatment-Insulin PumpDiabetes Treatment-Diet-Exercise ONLYFecal IncontinenceDeaf or Hearing ImpairedHepatitis AHepatitis BHepatitis CHIV or AIDSKidney TransplantMultiple Sclerosis (MS)OsteoarthritisOsteoporosisOveractive BladderPsoriasisRestless Leg Syndrome (RLS)Rheumatoid ArthritisShinglesSleep Apnea Thank you for completing this form! 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