Register for a chance to win two free tickets to a bergenPAC season performance by
taking a few minutes to fill out the survey below.

Mr.   Mrs.   Mr. & Mrs.   Ms.   Dr.
Name *
Address
City
State	Zip
Phone
E-mail *
What type of performances would you enjoy seeing at bergenPAC?  Top Stars  Musicals  Jazz  Living Legends  Soul & Blues  Pop & Rock  World Music/Dance  Comedy  Orchestra  Opera & Ballet  Piano & Violin  Art Movies  Family Fun  Magic  Other
Did you receive the bergenPAC 2006/2007 Season Brochure?  Yes     No
How would you like to learn about bergenPAC upcoming events? (Check all that apply)  Brochures and Postcards  Radio  Newspaper  Cable TV  Word of mouth  Posters around town  bergenpac.org website  Flyers in restaurants/stores  Other (please specify)
How far in advance of an event do you prefer to hear about bergenPAC programming? (Check one)  Same week as event  Two weeks prior to event  One month prior to event  Two months prior to event  As far in advance as possible
What is your preferred way to purchase tickets for bergenPAC events?  bergenpac.org website  Telephone  Postal Mail  In Person