Form

Full Name *

First Name Last Name

E-mail *

Date of Birth *

- Month - Day Year

Age Range

21 - 25 years old 26 - 29 years old 29 - 34 years old 35 - 44 years old 45 years old or older

Gender *

Male Female

Ethnicity *

Greek Eastern European Russian Hispanic African American Asian Caucasian I prefer not to answer

Phone Number *

- Area Code Phone Number

What is your spirit drink of choice? *

Brandy Vodka Cognac Wine Rum

Have you heard of or tasted Metaxa before? *

Yes No

Would you like to receive future brand communications? *

Yes No

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