Win A Cart!!!

The Independent Solution is here to solve all of your web site's programming needs.
Of course, the Simple Cart is the easiest way for anyone to make money on the web. Once installed you become a business and are limited only by the amount products you have. To test out my new contest script, Contest Maker 1.0, there are a few free shopping cart scripts up for grabs. This example shows the contest maker hooked up to the Super Forms.

Only one entry per person is allowed.

Online Ordering - Add items to your shopping cart by clicking on the prices.

Single Site Usage
(One Domain)
ISP Site License
(Unlimited Domains)
The Contest Maker 1.41$149 (USD)$499 (USD)
The PollMaster 1.3 $99 (USD)$399 (USD)
The Simple Cart 2.31 $149 (USD)$1199 (USD)

1. Name:     
2. Street:   
3. City:     
4. State:    
5. Zip:      
6. Phone:    
7. Email:    
8. Are you Female or Male?
9. Which category best represents your age?
10. Which category best represents your household income?
11. Are you married or single?
12. How many children do you have?  
13. What are the ages of your children?  
14. How long have you had Internet access?

15. Where do you most often access the Internet?

16. Why do you typically go on-line?

17. How many times have you accessed this site?

18. On a scale of 1 to 5, with 1 being "poor" and 5 being "excellent",
    how would you rate this site on the following?
  Quality of Content:      1  2  3  4  5

  Organization of Content: 1  2  3  4  5

  Speed of Delivery:       1  2  3  4  5

  FAQ Sections:            1  2  3  4  5

19. Please fill in the following with any additional comments including
    particular likes/dislikes, was your search successful, comments, etc...

20. Are you a smoker?

21. If so, would you be interested in an internet based quit smoking program?

Thank you for taking the time to fill out this survey and Good Luck!