bmwform.htm

This survey must be completed to receive tickets.

All fields marked with an * are required.

Please check:

Mr.

Ms.

First name*

Last name*

Number of Guests*

Ethnicity

Email 1*

Email 2

Address*

Home

Work

Company

Industry*

City*

State*

Zip*

Phone*

( ) -

Home Phone

Work Phone

Age*

Birthday*

Income*

Education / Highest level of Education*


	What car do you currently drive:

Make*

Model*

Year*

Own

Lease

Which car(s) would you like additional information on?

3 SERIES

5 SERIES

6 SERIES

7 SERIES

X SERIES

Z SERIES

EVERY SERIES

When do you expect to purchase or lease your next vehicle:

	0-3 MONTHS	7-9 MONTHS	MORE THAN 12 MONTHS
	4-6 MONTHS	10-12 MONTHS	UNKNOWN

What are you willing to spend on your next vehicle:

	UNDER $19,000	$19-35,999	$36-50,999
	$50-79,999	$80,000 +

	Do you have an established relationship with a particular BMW Center? If "yes":
	City:	State:

	Would you like to be the first to receive information from BMW and related sponsors about future products, preview shows and other local events?
	Yes	No

By submitting information through this form, you grant permission to
blackfilm.com staff to maintain records of data provided. Information will be maintained
in secure filing systems and will remain confidential as authorized by law.