SCHOOL SURVEY for $FREE$ Web-Page

Dare To Be Rare
oespups4u@yahoo.comp. 918-342-2269 www.dare2Brare.net
Claremore, Ok 74019

Survey for Free Website for Teachers & Students

We would like to know about your SCHOOL's CLUB, TEAM, or ORGANIZATION. Please complete this questionaire and click the button to send us your comments. To thank you for your time, we will send you a FREE Informational "HOW TO ..." article geared towards your area of interest.

All fields with a red * are required fields. No information on this survey will be shared with others. It will be kept strictly confidential.

Thank you for your time and answers !!!

Glenn & Sandy Marti

1. Title
Mr. Mrs. Ms. Dr.

2. First Name

3. Job Title *

4. Last Name *

5. Email Address *

6. Website Address (URL)

7. Age ?

8. Business Phone

9. Street

10. City *

11. State *

12. Zip

13. Comments

14. How did you hear about us ? *

15. Are you a teacher, school administrator, student, or parent? *
Yes No

16. How are you associated with your SCHOOL CLUB, TEAM, or ORGANIZATION? *

17. What is the name of your SCHOOL? *

18. What is the name or your CLUB, TEAM, or ORGANIZATION? If you are associated with more than one group, please list all. *

19. What grade level(s) are your students? *

20. What are your expectations for your FREE Web-Page? *

21. Do you know of others that would benefit from a FREE Web-Page? If yes, please provide a way for us to contact them, ie. email, phone, etc. *

Dare To Be Rare
oespups4u@yahoo.comp. 918-342-2269 www.dare2Brare.net
Claremore, Ok 74019

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