Favorite Nightlife Establishment

Here you can cast your vote for the nightlife bar, club, or other nightlife establishment that you feel is deserving of recognition by the American Nightlife Awards ( insert copyright info later)

Hello: You are invited to participate in the American Nightlife Awards' survey: "Favorite Nightlife Establishment". In this survey, You will be asked to nominate your favorite nightlife bar/club for the American Nigtlife Award. It will take approximately 5 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Anneliese Curtis Place at [Phone Number] or by email at the email address specified below. Thank you very much for your time and support. You MUST be 21 years of age to participate. Please start with the survey now by checking the box acknoledging your acceptance of these terms and clicking on the Continue button below.

I Have Read and Agree to the Terms and Conditions

Contact Information

* First Name :
* Last Name :
* Phone :
* Email Address :

* What is your date of birth?

* Name of Establishment:

* Type of Establishment

* Reason for Nomination (Why does your nomination deserve special recognition?)