Fill out this form to take the survey and register to win $500.00.

Media Usage Survey 

• Business Owners

• Marketing Directors

• Advertising Agencies

Get local information we've
collected for more than
one year in this exclusive
survey. Sign up now to
be alerted when it's complete
in January 2012.

This survey covers everything from
television, radio, print subscriptions,
social media, magazines,
text messaging, internet
and much more!

If you are a business owner,
marketing director or ad agency,
fill out the "Alert Me When the
Survey is done" form.

Take the survey anonymously.

The Ultimate Media Survey can
be taken without registering by
clicking here. Once you take the
survey you will not be allowed to
take it again.


Thank you,

The Shipp Media Team!


I am a business person who is interested in the survey results. Alert Me When the Survey Is Done.