MegaStar Cinemas

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Fields marked with an * are mandatory.

First Name*

Which genres of movie do you like best*?

	Action
	Adventure
	Animation
	Arthouse / Independent
	Classics
	Comedy
	Crime / Gangster
	Cult

	Drama
	Documentary / Historical
	Epics
	Film Noir
	Family
	Horror
	Musicals
	Romance

	Science Fiction / Fantasy
	Teen Movies
	Thriller / Suspense
	Sports
	War
	Western

Last Name*:

Street Number & Name*:

District*:

Province*:

Email Address*:

Cell*:

Date of Birth:

Gender*:

	Male
	Female

Do you have any children under the age of 12*?

	Yes
	No