CRC 2011 - Customer Response Card

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Customer Response Form

For Per Annum Use Only
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So That We May Better Serve You, Please Complete the Following

Address is: Home Office

Name:

Company:
(if applicable)

Address:

City:

State: Zip:

Phone:

E-mail:

I prefer to be contacted via: e-mail phone U.S. mail no preference

I have used Per Annum Diaries for: 1st Year 2-4 Years 5-7 Years Forever

Which edition(s) do you use?

Boston Chicago Manhattan Manhattan Plan-It Desk

Metropolitan Metropolitan Desk Los Angeles San Francisco Bay Area

Which cover do you prefer? Simulated Leather Genuine Leather

The color I prefer is: Black Burgundy Other:

Where did you get your diary/diaries?
Corporate Gift Web Order Mail Order Other Gift Store

How would you rate the usefulness of each item below?

What else would you like to see?

Do you use a PDA?
yes no considering If so, which one?

What do you like about the diary?

What do you dislike about the diary?

What other products do you think we should offer?

Other comments:

May we quote you? Yes No
From time to time we like to share customer feedback with other customers.
We would list your first name or initials and your town next to your quote. Is this OK?

If you answer yes above, how would you like your name to appear next to your quote?
(select one) First name and hometown Initials and hometown

Do you know someone who would be interested in receiving our information?

Address is: Home Office

Name:

Company:
(if applicable)

Address:

City:

State: Zip:

E-mail:

Contact via: e-mail U.S. mail either

Please send me more information on the following:
(you may select more than one)

Corporate Gifts/quantity discounts
Mail order/early order discounts
Non-city specific/general U.S. information diaries
Personalization/imprinting options
Photo albums & scrapbooks
Reading Glasses & Novelty Eyewear
Other - please specify:

To learn about our other products:
visit www.perannum.com or call 800-548-1108.

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