National myMovieMaker Rebate Survey   Thank you for your participation! Your feedback is important to us. Please complete the following steps to receive your rebate: 1) Pick up your finished DVD production from your Wal-Mart Photo Center. 2) Watch your DVD production. 3) Complete and submit this survey. 4) You will receive your rebate check in 6 to 8 weeks. If you have any questions, email us at walmart.support@avincimovie.com.   First Name:* Last Name:* Address 1:* Address 2: City:* State:* Select --- US States --- AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington Washington DC - District Of Columbia WV - West Virginia WI - Wisconsin WY - Wyoming Armed Forces Americas Armed Forces Pacific Armed Forces other American Samoa Guam Northern Mariana Islands Palau Virgin Islands --- UK Counties --- Avon Bedfordshire Berkshire Buckinghamshire Cambridgeshire Cheshire Cleveland Cornwall Cumbria Derbyshire Devon Dorset Durham Essex Gloucestershire Hampshire Hereford & Worcester Hertfordshire Humberside Kent Lancashire Leicestershire Lincolnshire London Manchester Merseyside Norfolk Northamptonshire Northumberland Nottinghamshire Oxfordshire Shropshire Somerset Staffordshire Suffolk Surrey Sussex Tyne & Wear Warwickshire West Midlands Wiltshire Yorkshire --- Canadian Provinces --- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory --- Australian States and Territories --- Ashmore and Cartier Islands Australian Capital Territory Coral Sea Islands Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia --- New Zealand Regions --- Auckland Bay of Plenty Canterbury East Cape Hawke's Bay Manawatu-Wanganui Marlborough Nelson Northland Otago Southland Tasman Waikato Wellington West Coast --- Hong Kong Administrative Districts --- Central and Western Eastern Islands Kowloon City Kwai Tsing Kwun Tong North Sai Kung Sha Tin Sham Shui Po Southern Tai Po Tsuen Wan Tuen Mun Yuen Long Wan Chai Wong Tai Sin Yau Tsim Mong Zip:* Email:* Phone (XXX-XXX-XXXX): Product Bar Code Number, Located on back of DVD, left side:* How easy was it to find myMovieMaker on the kiosk?* Very Difficult Somewhat Difficult Neutral Somewhat Easy Very Easy How would you rate your overall kiosk experience while creating your DVD production?* Very Difficult Somewhat Difficult Neutral Somewhat Easy Very Easy What did you like and/or dislike about your kiosk experience while creating your DVD production?* Overall, how satisfied are you with the finished product?* Very Unsatisfied Somewhat Unsatisfied Neutral Somewhat Satisfied Very Satisfied What did you like and/or dislike about the finished product?* Did you have any technical issues during your kiosk experience? If so, please describe.* Share a $10 myMovieMaker rebate with friends and family. Input their e-mail addresses to send them the offer. (Optional) Email: Email: Email: Email: Email:   * Indicates field is required.