Customer Info Form

1
NameWhat is your full name ?
First Name
Last Name
2
EmailWhat is your email address?
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
3
When is your birthday?(MM/DD)
4
Do you have children?
YESNO
5
If so how many?If you don't have any children put n/a below
6
Please share their age and grade levelIf you don't have any children put n/a below
7
Do you have any big events coming up in the next 6 months?
YESNO
8
When is the event date?(MM/DD) or N/a if there isn't any event
9
What types of items are you interested in for that event?Select all that apply or n/a
Please Select
Please Select
Memorial Items
Party Favors
Custom Apparel
Backdrops/Banners
Custom Drinkware
Other
N/A
10
If you selected other, enter what belowIf you didn't select other put n/a below
11
Which of these would you love to receive deals on?
Please Select
Please Select
Memorial Products
Kid's Items
Personalized gifts
Business Branding Items
Party Favors
Apparel
Holiday and seasonal bundles
Should be Empty: