Survey

Yes! I'd like to sign up for the Sweet Rewards e-mail newsletter; as well as, receive offers for Sweet Scrumptious Savings.

Yes! I'd like to sign up for the Sweet Rewards e-mail newsletter; as well as, receive offers for Sweet Scrumptious Savings. First Name:
Last Name:
ZIP/Postal Code:
Email Address:

Have you previously purchased from Sweets in Bloom?

Have you previously purchased from Sweets in Bloom? No

Yes

What is your 1st important Occasion?

Such as your signifcant other's birthday or a special anniversary. Please include the occasion, name and age of the recipent (e.g. Jim's Birthday, turning 40, 1970).

What is your 1st important Occasion? Such as your signifcant other's birthday or a special anniversary. Please include the occasion, name and age of the recipent (e.g. Jim's Birthday, turning 40, 1970).

What is the DATE of your 1st Occasion?

	MM		DD		YYYY
Please provide month and date, for the year put 2009:	What is the DATE of your 1st Occasion? Please provide month and date, for the year put 2009: Month	/	Day	/	Year

What is your 2nd important Occasion?

Please include the occasion (e.g. Birthday), name and age of the potential recipent.

What is your 2nd important Occasion? Please include the occasion (e.g. Birthday), name and age of the potential recipent.

What is the DATE of your 2nd Occasion?

	MM		DD		YYYY
Please provide month and date, for the year put 2009:	What is the DATE of your 2nd Occasion? Please provide month and date, for the year put 2009: Month	/	Day	/	Year

What is your 3rd important Occasion?

Please include the occasion (e.g. Birthday), name and age of the potential recipent.

What is your 3rd important Occasion? Please include the occasion (e.g. Birthday), name and age of the potential recipent.

What is the DATE of your 3rd Occasion?

	MM		DD		YYYY
Please provide month and date, for the year put 2009:	What is the DATE of your 3rd Occasion? Please provide month and date, for the year put 2009: Month	/	Day	/	Year

How often would it be acceptable to email you?

How often would it be acceptable to email you? No more than one email per week

No more than two emails per month

No more than one email per month

Yould you be interested in hearing about your Corporate gift ideas as well as Corporate discounts.

Yould you be interested in hearing about your Corporate gift ideas as well as Corporate discounts. No

Yes