Personal -
First Name:

Last Name:

Street Address:

City:  State:  Zip:

Email Address:



Shameless promotional marketing questions -
1. What type do you drink most often:

2. What do you buy most often: Micro brew     National Brands

3. Are you discouraged by beer quality at State Liquor Stores:
Not at all     Not really     A bit     Very  much so  

Most urgent issue facing beer drinkers in Utah:
Quality     Draft keg ban     Selection     State markup


No! Don't email me about updates to the sight, and to the petition.

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