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Mud Duck Productions - Game Registration

Thank you for purchasing a Mud Duck Productions game. We are on a never-ending quest to improve our products and services. Please assist us in this quest by filling out this registration form.

Please be sure to fill in all fields.

Customer Information

Title:

First Name:

Last Name:

Address:

 

City, State/Province:

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Zip/Postal Code:

Country:

Date of Birth:
(month/day/year)

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E-mail address:

Phone Number:

Date of purchase:
(month/day/year)

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Product Purchased:

Where did you obtain this product?
(optional)
  Other:
What factors influenced your purchase?
Company Reputation Store Recommendation Magazine Review
Advertisement Store Display Other
Website Friend Recommendation  
Which magazines do you read and how would you rate them in importance?
(rate 1-5, 1 being most important, 5 being not important)
GameNow GamePro US PlayStation
EGM Official Xbox Magazine Xbox Nation
Game Informer

PSM

Other
Other:
What kind of games do you enjoy?
(rate 1-5, 1 being most important, 5 being not important)
Action Strategy First Person Shooter
Sport Role Playing Simulation
Puzzle Racing Other
Other:
How many games do you purchase a year?
1-2 3-6 6-9 10+
What game systems do you own?
Xbox® PlayStation®2 Gamecube™
PlayStation® PC Other
How many hours per week, on average, do you play video games?
1-2 hrs. 3-5 hrs. 6-8 hrs. 9+ hrs.
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