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Thank you for purchasing a Black Lance fighter. In order to protect your new investment, please take a few moments to fill out the warranty registration card below. Answering the survey questions is not required, but the information will help us to develop new products that best meet your needs and desires."

1. [_] Mr. [_] Mrs. [_] Ms. [_] Miss [_] Adm. [_] Gen. [_] Space Marshal [_] Classified [_]
Other First Name:
Initial:
Last Name:
Password: .............................. (max 8 char)
Code Name: ...........................
Latitude-Longitude-Altitude-Coordinates: ..... ..... .....

2. Which model fighter did you purchase?
[_] Lance/Dragon
[_] Bearcat
[_] Razor
[_] Hellcat
[_] Classified

3. Date of purchase (Year/Month/Day): 26.. / .. /..

4. Serial Number:................

5. Please check where this product was purchased:
[_] Received as gift / aid package
[_] Catalogue showroom
[_] Independent arms broker
[_] Mail order
[_] Discount store
[_] Government surplus
[_] Classified

6. Please check how you became aware of the Black Lance product you have just purchased:
[_] Heard loud noise, looked up
[_] Store display
[_] Espionage
[_] Recommended by friend / relative / ally
[_] Political lobbying by manufacturer
[_] Was attacked by one

7. Please check the three (3) factors that most influenced your decision to purchase this Black Lance product:
[_] Style / appearance
[_] Speed / maneuverability
[_] Price / value
[_] Comfort / convenience
[_] Kickback / bribe
[_] Recommended by salesperson
[_] Black Lance reputation
[_] Advanced Weapons Systems
[_] Backroom politics
[_] Negative experience opposing one in combat

8. Please check the location(s) where this product will be used:
[_] Confederation
[_] Kilrathi Space
[_] Nephilim Space
[_] Union of Border Worlds
[_] Carrier
[_] Landreich
[_] Avalon Sector
[_] Gemini Sector
[_] Trk' Pahn Sector
[_] Vukar Tag Sector
[_] Hawking Sector
[_] Vega Sector
[_] Sol Sector
[_] Kilrah Sector
[_] M'shrak Sector Sector
[_] Epsilon Sector
[_] Enigma Sector
[_] Argent Sector
[_] Other

9. Please check the products that you currently own or intend to purchase in the near future:
[_] Space Stations
[_] Space Mines
[_] Flash Pak
[_] Killer Satellite
[_] Skipper Missiles
[_] Air-to-Space Missiles
[_] Capital Ships
[_] Guns
[_] Nuclear Weapon

10. How would you describe yourself or your organization? (Check all that apply:)
[_] Communist / Socialist
[_] Terrorist
[_] Crazed
[_] Neutral
[_] Democratic
[_] Dictatorship
[_] Corrupt
[_] Primitive / Tribal

11. How did you pay for your Black Lance product?
[_] Deficit spending
[_] Cash
[_] Black Funding
[_] Oil revenues
[_] Personal check
[_] Credit card
[_] Ransom money
[_] Traveler's check
[_] Populace Taxiation

12. Your occupation:
[_] Religious Zealot
[_] Sales / marketing
[_] Revolutionary
[_] Privateer
[_] Mercenary
[_] Tyrant
[_] Middle management
[_] Eccentric billionaire
[_] Defense Minister / General /Admiral/Space Marshal
[_] Retired
[_] Pirate

13. To help us understand our customers' lifestyles, please indicate the interests and activities in which you and your spouse enjoy participating in on regular basis:
[_] Assassination
[_] Boating / sailing
[_] Sabotage
[_] Running / jogging
[_] Propaganda
[_] Destabilization / overthrow
[_] Default on loans
[_] Gardening
[_] Crafts
[_] Black market / smuggling
[_] Collectibles / collections
[_] Watching sports on TV
[_] Wines
[_] Interrogation / torture
[_] Household pets
[_] Crushing rebellions
[_] Espionage / reconnaissance
[_] piracy
[_] Border disputes
[_] Mutually Assured Destruction

Thank you for taking the time to fill out this questionnaire. Your answers will be used in market studies that will help the Black Lance serve you better in the future -- as well as allowing you to receive mailings and special offers from other companies, governments, extremist groups, and mysterious consortia. As a bonus for responding to this survey, you will be registered to win a brand new Flash Pak Weapons System in our Desert Sector Sweepstakes! Comments or suggestions about our fighter planes?

Please write to:

BLACK LANCE FORCES
Marketing Department
Military Aerospace Division
Axius Station


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