*First Name
*Middle Initial
*Last Name
*Address 1
Address 2
*City
*State / Province
*Country
*Zip
*Day Phone
*Evening Phone
*E-mail
*Comments
*Birth Date: mm/dd/yy	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Friends E-mail Address Referral
(Do you have a friend or relative we should put on our mailing list? If you'd like to add more than one friend to our list, please put a semicolon between email addresses.)
We're always interested in what interests you! Please check all that apply:
Gifts Collectibles Corporate Gifts What's New Costume Jewelry Fine Jewelry Children's Apparel/Gifts Furniture Bridal/Shower Gifts Baby Gifts Home Furnishings Books Craft Magazine/On-line Tutorial Magazine Sales/Specials All Season / Holiday Christmas Easter Camp Survival Kit Summer 4th of July Halloween Thanksgiving Mother's Day All
Help us create the right products for our customers if you have a few moments.
How did you hear about us?	Magazine Newspaper Television Radio Word of Mouth Other
If 'Other' selected, please explain
What is your household income?	$10,000 - 29,999 $30,000 - 49,999 $50,000 - 75,999 $76,000 - 99,999 $100,000 - 149,999 $150,000 - 199,999 $200,000 and up I don't wish to provide this information
How many children do you have under 18?
What do you wish we made that you can't find?
What is your favorite means of shipping?	Parcel Post UPS FedEx Don't Care
Do you create crafts?	Yes No
How many hours a week do you devote to craft making?	1-3 hours 4-7 hours 7-10 hours over 10 hours a week
Do you shop mostly in:	Specialty Stores Department Stores Mass Merchants (Kmart, Wal*Mart, Target, etc.?)