* 1. How did you hear about the Lawsuit Reform Alliance of New York?

* 2. What is your gender?

* 3. Which category below includes your age?

* 4. What industry or profession do you belong to or represent?

* 5. Which issues are you most concerned about? Select as many as apply.

* 6. In general, LRANY contacts me:

* 7. I am interested in having a member of LRANY speak to my business or event

* 8. What do you feel the Lawsuit Reform Alliance could do differently to better serve its grassroots supporters?

* 9. Name and address (required to receive mug)