Rattleback Record Club Music Survey!

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Choose your subscription level then tell us a little about you.

Name (First & Last) *

Phone Number (xxx) xxx-xxxx *

Email Address *

Please choose your Record Club level. *

1 Month - $40* — 1 New Vinyl LP + 1 Used Vinyl LP

3 Months - $110.00*; A SAVINGS OF $10.00 - 1 New Vinyl LP + 1 Used Vinyl LP Each Month

1 Month - $55* — 1 New Vinyl LP + 2 Used Vinyl LP

3 Months - $150.00*; A SAVINGS OF $15.00 - 1 New Vinyl LP + 2 Used Vinyl LPs Each Month

1 Month - $80* — 2 New Vinyl LP + 2 Used Vinyl LP

3 Months - $215.00*; A SAVINGS OF $25.00 - 2 New Vinyl LPs + 2 Used Vinyl LPs Each Month

I'd like to... *

Pick up my records at the shop. (5405 North Clark Street)

Have my records shipped to me (free of charge).

If you'd like your records shipped, please provide a valid mailing address below.

First time members receive a free Rattleback Records T-Shirt! (choose your size below)

Small

Medium

Large

X-Large

XX-Large

Clear selection

I really love... (choose all that apply) *

Pop/Rock

R&B/Soul

Rap/Hip-Hop

Jazz

Blues

Country/Folk

Soundtracks/Showtunes

Reggae

Global

Ambient/Electronic

Vocal/Easy Listening

Classical

Required

I really DON"T like...(choose all that apply) *

Pop/Rock

R&B/Soul

Rap/Hip-Hop

Jazz

Blues

Country/Folk

Soundtracks/Showtunes

Reggae

Global

Ambient/Electronic

Vocal/Easy Listening

Classical

Required

Approximately how many records do you currently have in your collection? *

0-10

11-25

26-50

51-100

More than 100

Tell us a little about the records you currently have in your collection (i.e. artists/bands/genres)! *

How adventurous are you in exploring new genres/types of music *

Not very adventurous.

Bring it on!

My first concert was... *

The first record/cd/tape/music that I ever bought with my own money was... *

The most recent record/cd/tape/music that I bought with my own money was... *

A song I always sing along to is... *

Best Sunday morning music... *

Any further information that you'd like us to know? *

Submit

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