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Free CD

NEW COMPILATION CD #3
  Your Details
Salutation:
*Your Forename: ( Имя )
*Your Surname: ( Фамилия )
*Your Email Address: ( Ваш E-mail )
*Phone Number: ( Телефон )
*Address Line 1: ( Адрес )
*Address Line 2: ( Адрес )
Address Line 3 / State: ( Адрес )
*Postal/zip code: ( Индекс )
*City: ( Город )
*Country: ( Страна )
  About You
*Occupation: ( Род занятий )
Household Income (pa): ( Годовой доход )
*Sex: ( Пол )
*How many CDs do you buy per year?:
( Сколько дисков покупаете в год )
*Year of birth: ( Год рождения )
Favourite Music
Любимая музыка
Please don't select the same sub-genre more than once; you may leave some blank if you wish. Не выбирайте один стиль дважды. Можно вообще не выбирать.
Genre 1:
Genre 2:
Genre 3:
   
Fields marked with an asterisk must be completed.
Отмеченое звездочкой обязательно к заполнению.
   

Если всё заполнили - можно нажимать.
   
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