Thank you for your interest in our product test. As referenced, if you qualify for this study, you will receive eight (8) packs of cigarettes and $25. To see if you potentially qualify, please answer the questions which follow. If you don't qualify for this study, you may qualify for a future study based on your information. (We will keep that data for future reference. Or, go to our website at and register with us in our tobacco database.)

* 1. Please tell us about yourself so we can reach you, if you potentially qualify for this study and would like to potentially participate.

* 2. Please tell me your gender.

* 3. In which of the following categories does your age fall?