Sell Your Soul To Satan

Before signing the contract which will sell your soul to me, please fill out the following form.
Satan isn't omniscient like some others we know.

What is your full given name?

What is your email?

What is your zodiac sign?

What is the year you lost your virginity? (So we can find you on our records)

What was your former religious affiliation?

Do you have any Heathen and/or Immoral ancestors?
(so they may greet you on your arrival in HELL)

Yes
No

How many sins have you committed? 
(For identification purposes if the soul if mutilated beyond recognition)

REQUESTED REWARD PRICE
RICHES burn candle to pagan god every sabbath for 10 years
FAME dance on graves at midnight every halloween for 5 years
LOVE burn unblemished heifer's heart on satanic altar
PROGENY one (1) child sacrifice
POPULARITY laugh loudly in cathedral during prayer
WEIGHT LOSS genuflect before Satanic image thrice daily for 6 months
PERFECT SKIN sacrifice faux fur coat
END TO CK1 ADS assassinate one (1) famous French fashion designer
JUST ONE GOOD RESTAURANT paint-pellet the pope
ABSOLUTE POWER human sacrifice once every seven years
MICROSOFT X--sold out--X
DONUTS occasional swearing
WILD SEX dance naked under a full moon in a chalk-drawn pentagram, chanting hymns and adorations to satan
SURROUND SOUND HOME THEATRE SYSTEM become a telemarketer
GOOD GRADES adopt a demon familiar (black cat)
DEATH OF HATED ACQUAINTENCE two weeks required service of dark lord every year
A GOOD JOB X--only given by God--X
MAGICAL ABILITIES study alchemy and ancient pagan rites