Contact Conte Cult

Contact

Please, take a few moments and fill out this short questionnaire. It will be used to further enhance and improve our site. We will not sell any of your information to anybody, especially those damned tele-marketers (Oh, if I could just get one of those bastards alone in a room...)! Well, anyway, if we do, you may sue our balls off.

As an added incentive to filling out this form, the first hundred Cult followers will receive a lifetime subscription (username and password) to ConteCult.com (you didn't think we'd be free forever now, did you?), in addition to being advised of updates, improvements, and changes to the site.

Name
Address
City
State
Zip Code
Country
Email
Occupation
Cult Membership	Yes, I want to become a Cult member.
User Name		Name must be between 3 and 10 alpha-numeric digits (including spaces.)
Password		Password (must be at least 3 and no more than 10 alpha-numeric digits.)
		Confirm Password
Age
Sex	Male Female Not sure...
Frequency	Never :( Sometimes :) All the time ;) (Please, only answer this question if you checked off "Female" above...thanks.)
Comments	Let us know your comments, what you think, how we can improve, send us your jokes, pictures, hobbies, etc.

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