Name
Last Name
 
First Name

Secret Identity (We promise not to tell)

 

Where do you live?

Address
 
City

 Zip
  state Alaska Alabama Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming

Where you would like to live?

Date of Birth
 
Birthday you tell everyone

 

Email 
Your Address

Email of someone you want us to annoy

Preferences
Paper or Plastic _______________   Dog or Cat _______________  
Coke or Pepsi _______________   Star Wars or Star Trek _______________ 
Good Cop or Bad Cop _______________   Book Version or Movie _______________ 
Vanilla or Chocolate _______________    Beatles or Rolling Stones _______________ 
Mac or PC _______________   Unicorns or Robots _______________

Ford or Chevy _______________   Football or Baseball _______________
Frankenstein or Dracula _______________   CD or LP _______________
M&M Plain or Peanut _______________   VHS or Betamax _______________

Mr. Slate or Mr. Spacely _______________   IHOP or Denny's _______________

Letterman or Leno _______________   Headbutt or Groin Kick _______________

Judge Judy or Wapner _______________   Freddy or Jason _______________

Marvel or D.C. _______________   Old Daren or New Daren _______________
Electrocution or Lethal Injection _______________   Irresistible Force Immovable Object _______________
 

 

Favorite Song/Artist
 

 

 

 Superfluous Comment ( Likely to be ignored )
 
 Ever been to a GP3 Event?
  Yes No I choose to exercise my 5th admendment rights at this time

 Final Question:
  My Favorite Band Is... George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio Dexy's Midnite Runners George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio George Poe Trio