Space Publication Survey

Thank you for participating in the Space Publication Survey, sponsored by the company of Space Lifestyle Magazine! To complete, please fill out the required window with your email address and subscribe to our sister publication inc.space.xtra. If you would like to try and win the parabolic flight or other prizes, you MUST also fill out both the address field, and the phone number field.

 
What is your email address? *
 

What is your full address?
You MUST fill out this field in order to attempt to win the parabolic flight trip or SmoothLounge.com nu-jazz Value Paks.
 

What is your phone number?
You MUST fill out this field in order to attempt to win the parabolic flight trip or SmoothLounge.com nu-jazz Value Paks.
 

How long have you been interested in the space sector?
 

What topics are you interested in finding out more, professionally?
  Space Business
  Space Law
  Space Science
  Space Technology
  Space History

What topics are you interested in finding out more, personally?
  Space Business
  Space Law
  Space Science
  Space Technology
  Space History

What is your income level annually?
  up to $30,000
  $30,000-$50,000
  $50,000-$75,000
  $75,000-$100,000
  more than $100,000
  prefer not to say

what is your interest in space?
  Professionally
  Personally
  Passing

What other space titles do you read or watch?
 

What other media titles do you read or watch?
 

Where do you live?
  Rural Area
  Suburban Area
  Urban Area

What types of products or services do you consume personally?
 

What types of products would you like to find more about?
 

Are you:
  Male
  Female

What is your age?
  up to 17
  18-25
  25-40
  40-65
  65 and older

How did you find about this site?