30 Second Survey Welcome to the 30 second Ten Dollar Club Survey. Please complete the form below. 30 Second Survey Name*Please enter your preferred name. First Last Email*Please enter a valid email address. Enter Email Confirm Email Communication PreferencesWhat are your communication preferences? Mail Email Text Message Phone Call Social MediaWhat is your social media prefence? Facebook Twitter Instagram Other Other Social MediaWhat other types of social media do you use?Email SubscriptionCan we add you to our email list? We will not to share your data with others. Yes No CommentsThis field is for validation purposes and should be left unchanged.