PLEASE FILL THIS OUT TO ITS FULL AND COPY AND PASTE THIS ENTIRE DOCUTMENT AND SEND IT TO mediablackout@nirvanaclub.com DO NOT SEND IT AS A ATTACHMENT. Text only please.
What Is Your name?
How old are you?
Where in the world are you from?
Are you allowed to receive large packages?
Do you have an address to send the package if you are choosen?
What is your email:
What are some of your favorite bands?
Do you like to collect on Nirvana (i.e bootlegs, tshirt, stickers?)
What Nirvana items do you have?
What is your favorite Nirvana item?
Tell me some of your favorite memories or story you know of Nirvana:
If someone asked you, what would you say if they asked you who Nirvana is/was?
What would you do, if in your donation you recived, you got something you already had?
How did you find out about Nirvana?
How does Nirvana inspire you?
Would you ever be intrested in going to Seattle to see Kurt's house and places Nirvana played? & Why?
What's something you don't like about Nirvana ? 
How did you find out Kurt Cobain had died?
Do you have an opinion on his death? (ie how he died?)
What's something you liked to see Nirvana had done?
What , to you, was one of Nirvana's greatest accomplishments?
How do you live on or pass on the Nirvana legecy yourself?
Why do you think you should get a donation?
Anyhting eles you want me to know about you? (you can add person stuff here that you think would 
help me decided to pick you):



Thanks!