Motorcyclist Focus Group Interest Form Name * First Name Last Name Phone * (###) ### #### Email * Date of Birth * MM DD YYYY What kind of bikes do you typically ride? * Political Affiliation * Democrat Green Independent Libertarian Republican Race * Native American or Alaska Native Asian Black or Native American Native Hawaiian or Other Pacific Islander White Hispanic Other Gender * Female Male Other Which Louisiana Parish do you reside in? * What is your occupation? Put your last job if retired or unemployed. * Are you available from 6-10pm on Thursdays? Yes No I have limited availability (explain below) Thank you!Want to refer a friend? Send them the link below: https://legalfocusllc.com/motorcyclist-form
