About yourself...

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Please take a minute to fill the short form below and send it in. You don't have to, of course, but by doing so you will help us in better identifying the typical user of our Web site. You will also have a chance to submit your comments, suggestions, or requests for more information below. Your input is very important to us, so thank you in advance!

PERSONAL DATA - Tell us about yourself:

First and last name:

City of residence:

State:

Country (if outside USA):

E-mail address:

PROFESSIONAL DATA

If you are somewhat related to the coffee industry, we would like to know. Mark one of the fields below that best describes your activity. If you are not related to the coffee industry, check "Just a Coffee Lover" and proceed to the Comments area.

Import-Export
Coffee Roaster
Coffee House Owner or Manager
Bartender
Restaurant Owner or Mgr.
Barista
Just a Coffee Lover
Specialty Coffee Retailer
Supermarket Industry
Multiple items may be chosen.

COMMENTS AREA: Suggestions, comments, requests for info?

Enter comments here:

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