First Name      Last Name

      Address

      City     State     Zip

       E-Mail Address

       Your age         Your Sex:    Male   Female

       Are you a parent?      Yes          No       

       Are you a grandparent?      Yes          No       

       How many children are in your household?   0 1 2 3 4 5 6 7 8 9 10

       Please answer for each child in the household:

       Boy     Girl    Age                        Boy     Girl    Age  

       Boy     Girl    Age                        Boy     Girl    Age  

       Who is your favorite male country singer?

       Who is your favorite female country singer?

       How did you find our site and hear about Froggy's Country Storybook?   
      Celebrity Fan Club Saw a review in a Publication Friend told me about it We already have a Froggy Story I read about it on another web site Other (Please fill out where)
       If you found us by other means, please tell us how 
      

       Please note how often you read the following publications:
       American Country Never Occasionally Often I try to read each issue
       Country (Canada) Never Occasionally Often I try to read each issue
       Country Music Never Occasionally Often I try to read each issue
       Country Song Roundup Never Occasionally Often I try to read each issue
       Country Weekly Never Occasionally Often I try to read each issue
       Modern Screen Country Music Never Occasionally Often I try to read each issue
       Music City News Never Occasionally Often I try to read each issue
       New Country Music Magazine Never Occasionally Often I try to read each issue

       Other children's stories you would like to hear on Froggy's Country Storybook:

       Other country music artisits you would like to hear on Froggy's Country Storybook:

        In the future would you prefer Froggy's Country Storybook to be available on   
        CD     Cassette