Let All Your Friends In On This Contest. The'll Love You For It!

Yes, Please enter me in the Contest.

I understand that all of my answers will be kept strictly confidential.

Privacy Policy: We, at Dino Den, do not use our e-mail lists for any other purpose other than the one stated. We do not give any other parties access to our e-mail list. We do not sell, rent, or trade  your private information. If you are under 18, you must obtain your parents' or legal guardian's permission to enter the contest and include their name in the form below.

Please spend a minute or two to answer all of the survey questions, then click the "I Want a Free Dinosaur Coin" button.  Your name will be automatically registered in each drawing. No need to re-register each time.

To keep things fair, people who enter more than once or submit incomplete surveys will be automatically disqualified.

Thanks in advance for joining our contest and filling out our brief survey. Your answers will help us to help you obtain the most enjoyment and reward out of our future website.

I access the Internet:	Please Select OneAt HomeAt workBoth
Do you own Dinosaur "stuff"?	Please Select OneYesYes - in fact, I'm collectorhope to buy some for Christmas (to give as a gift)Not yet- probably within 3 monthsMaybe within a yearNo

Which dinosaur related items/activities are you most likely intererested in:
Email Lists	Please Select OneHighly interestedInterestedModerately InterestedUndecided
Free Downloads	Please Select OneHighly interestedInterestedModerately interestedUndecided
News	Please Select OneHighly interestedInterestedModerately interestedUndecided
Best bargains	Please Select OneHighly interestedInterestedModerately interestedUndecided
Research	Please Select OneHighly interestedInterestedModerately interestedUndecided
Games	Please Select OneHighly interestedInterestedModerately interestedUndecided
Chat room discussions	Please Select OneHighly interestedInterestedModerately interestedUndecided
Getting money saving coupons	Please Select OneHighly interestedInterestedModerately interestedUndecided

 

Which of the following dinosaur related items do or will you buy on the Internet?
Software	Please Select OneAlready buyPlan to buyDon't plan to buyUndecided
Books	Please Select OneAlready buyPlan to buyDon't plan to buyUndecided
CDs	Please Select OneAlready buyPlan to buyDon't plan to buyUndecided
Tapes, Videos	Please Select OneAlready buyPlan to buyDon't plan to buyUndecided
Board Games	Please Select OneAlready buyPlan to buyDon't plan to buyUndecided
Video Games	Please Select OneAlready buyPlan to buyDon't plan to buyUndecided
Toys	Please Select OneAlready buyPlan to buyDon't plan to buyUndecided
	I have not bought anything on the Internet yet
	I own my own Business

 

My age range is:	Please Select OneUnder 1819 to 2526 to 3536 to 4546 to 62Over 62
Education:	Select Highest Grade CompletedI'm still in school (K-12)Twelfth (High School Degree)Some CollegeCollege DegreeSome GraduateGraduate Degree
Gender:	Please Select OneMaleFemale
Married?	Please Select OneYesNoDivorcedHey, I'm a kid
Children in school?	Please Select OneYesNoI'm the kid in school
Computer platform?	Please Select OneWindowsMacintoshLinux - UnixWebTVOther

If you are under 18 years old, parent or guardian's name   

Email address
First name
Last name
Fed Ex Address (to send my coin if I win)
City
State	Zip US
Phone number (We will only call you if you win)	()

  Yes, I want to receive occasional brief emails from FreeDinosaurCoin.com with Dinosaur related news, Web sites and other things of interest. (No more than once per month and I can unsubscribe at any time.)
  Where did you hear about this site:Please Select One MagazineFriendNewspaper Web SiteElectronic NewsletterOther If you indicated "Web Site", Name of Website:  
 Please click on the "I Want a Free Dinosaur Coin" button to be automatically entered into the contest. (This will take a few seconds, so please be patient.)

Thank you for helping us with our survey.
We wish you luck, and hope you are the winner of a free Dinosaur coin!