What is your preferred method of contact?
Email Phone Mail SMS No contact preference
What types of products are you most interested in?
Fashion Home goods Electronics Beauty Fitness
How often do you shop for new items?
Weekly Bi-weekly Monthly Quarterly Rarely
What influences your purchasing decisions the most?
Price Quality Brand Reviews Current trends
Do you prefer shopping online or in-store?
Online In-store Both Prefer not to say Not applicable
Would you like to receive exclusive discounts and deals?
Yes, please! No, thank you
All set, how can we reach you?
Name
Email
Phone
(Details here)
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