Maling List Questionnaire

Eagleton Mailing List Questionnaire

The information you provide here is for Eagleton use only; we will not share your mailing or e-mail information with anyone.

Important, please read before filling out the form below:
Please include your name and a mailing address or your name and an e-mail address or your name and both addresses in order to be included on our list.

1. Name

For current mailing list members, my mailing address is correct:
	Yes No, list corrected address below
	Would you like to remain on Eagleton's mailing list?
	Yes No (If not, ignore the questions below) I'm new, please add me to the mailing list.
For new mailing list members, list address below
2. Can we send notices to you by e-mail?
	Yes (If you select yes, you *must fill in your email* address below. My e-mail is
3. What would you like to receive from Eagleton? (Please check as many as apply.)
	Notice of talks by politicians and journalists that are open to the public
	Eagleton's newsletter
	Press releases about polls and other Eagleton activities
4. Are you likely to attend future events at Eagleton if they are of interest to you?
	at least several times a year maybe once a year very rarely no
5. What speakers, panels or topics would be of particular interest to you?

6. Would you attend a video conference in Trenton of events held at Eagleton?
	yes no maybe
7. Can you suggest other people who might like to know about public programs at Eagleton?

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Copyright 2007 Eagleton Institute of Politics
Rutgers, The State University of New Jersey
191 Ryders Lane, New Brunswick, NJ 08901-8557
732/932-9384