Show Information Registration

If you would like to register with the Roseville Rock Rollers to 
receive a one dollar off coupon for admission to our upcoming show,
please fill out the form below, and click on the SUBMIT button.

In early March, you will receive a printable coupon for $1 off the $6 show admission price.
(good for all members of your party)

REGISTRATION FORM

We will not share your email address with anyone for any reason.
We use it solely to send you the discount coupon and a show reminder, in March of each year.

 

                                 Name  

                    Email Address  

          Residence (city only)     optional

 

Optional Survey

Where did you hear about our show?
 		Street Sign or Banner
School or College
Store or Office
Newspaper
Radio/TV
Flyer at another show
From friends/word of mouth 
On our website
   

Check all that apply

 

Been to the Rock Rollers show before
Been to other shows
Member of another rock club