GOLD MEMBERS CLUB

Sign Up Form

*You must have just placed and order to sign up for FREE gift.

 

If you have trouble with this form e-mail us.

 

Please answer just a few simple survey questions below, these are used for marketing

purposes and our in-house web designers to better serve your needs in the future.

 

We value your comments GOOD or BAD please be honest

and help us make improvements where we may need to.

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1. How did you first find our website?

Search Engine Our Business Card

Link for Another Website Newspaper / Magazine Other

If you checked "Newspaper / Magazine", "Link for Another Site" or "Other" please let us know where.

2. How easy were you able to navigate around our website and find what you were looking for?

Very Easy Easy Enough Okay Complicated Very Complicated

Please comment on anything you think we could change or improve on this site:

 

Please comment on features about this site design you liked (example: graphics, background etc):

 

3. Please comment on our products you found on our website. Which one's you liked the most, just give us your suggestions and we will listen.

4. Have you book marked our site to your FAVORITES LIST? Yes No

5. Did you make a recent website purchase ? Yes No (you are not eligible for FREE print)

What did you purchase, and why did you decide to purchase from us?

***PLEASE NOTE:  To be eligible for the Gold Member Club and the free poem print, you must fill this form out at the time of a current on-line purchase from our website, as explained on 

the Members Page. 

THANK YOU for your Comments! We appreciate and value your time.

Now fill in the information below to join the Gold Members Club

and to get your FREE ~ "You Are Worthy" personalized poem Print. 

Print to be mailed with your recent purchase.

 

First Name to use for the Print:  

Personalization to add at bottom:...........................................

***As soon as we verify your recent purchase we will send your FREE Gift!

Your Shipping Information

 Name:    
Address:  
 If Needed: 
City:        State:  Zip: 
USA ONLY PLEASE

Email:  
***Name E-Mail Address MUST be complete.