Sign Me Up!

Fill in any and all fields:

Your name:

Email address:

What genre (style) is your music (check one)

Pop/Rock
Ska/Punk
Rap
Heavy Metal/Hardcore
Worship
Gospel
Other (please specify)


How does your ministry currently advertise: (check all that apply)

Radio Ads
Word of Mouth
Newspaper Ads
Internet

Would you be willing to help out Rubber Ducky in any of these ways? (check all that apply)

Prayer
Financially
Web Design Team
Research and Development
Other (please specify)

Any comments?




You are the

th person to fill this form out.



�1999Halieus Communications, inc. (Rubber Ducky)