Salutation: Mr Mrs Ms Miss
First Name: Last Name:
Street Address: City: State: Zip Code:
E Mail Address:
Date of birth: Marital Status: Sex:

Where did you first hear about our company? -- please select one -- Friend Store shelf Retail advertisement Internet

Do you currently own any of our products? No Yes
If yes, which types?
beach chairs
umbrellas
lawn chairs
beach accessories
crafting centers
hunting accessories
folding tables
camp furniture
camp kitchen
other

Where did you purchase our products? -- please select one -- discount store department store wholesale club mail order catalog tv shopping channel

Why was this product purchased?: -- please select one -- purchased for your own use received as a gift purchased as a gift

What three factors most influenced your decision to purchase our product?
(Check only 3)
brand reputation
store display
style/appearance
function
quality/durability
price
advertising
other (please specify)

Which group best describes your family income? -- please select one -- Under 20k 20k - 30k 30k - 40k 40k - 50k 50k - 60k 60k - 75k 75k - 100k over 100K

Level of education -- please select one -- high school some college completed college some graducate school completed graduate school

For your primary residence, do you?: own rent

To help us understand our customer’s lifestyles, please indicate the interests and activities in which you or your spouse enjoy participating in on a regular basis.
physical fitness/exercise
competitive sports
camping/hiking
hunting
fishing
needlework/knitting/sewing
crafting
gardening
automotive work
listening to music
surfing the Internet
domestic travel
international travel
gourmet cooking/fine wines
casino gambling
watching sports on TV

Thank You
14 + 5 =