MyBook - The Adaptable Planner & Journals

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Customer
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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

Where did you get your MyBook?

Corporate Gift Web Order Mail Order Gift

Store

Which MyBook(s) have you used?

Planner (small) Planner (large) Journal (small) Journal (large)

Pink Ribbon Journal (small) Pink Ribbon Journal (large)

How will you make it yours?

Planner	Showcase child's art	Baby's 1st Year	Garden Journal
Journal	Showcase my art	Wedding planner	Birthday Tracker
Scrapbook	Showcase photos	School planner	Travel planner
Brag Book	Expense Organizer	Creative Gift	Ephemera organizer
Not sure	Other:

How would you rate the usefulness of each item below?

1 = least 5 = most n/a 1 2 3 4 5

Area code & world maps

Calendar/daily planner section

Coversion charts

Cover template

Forward planner

Holiday charts

Ink jet photo paper inserts

Monthly calendar grids

Photo/plastic pockets

Ruled/note pages

Toll-free phone numbers

Web site directory

What other fun features would you like to see?

What do you like about MyBook?

What do you dislike about MyBook?

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 consider yourself to be a (check all that apply):

Collector Gardener Designer Photographer

Professional Scrapbooker Other:

Have you used any of our other dated products? (check all that apply):

Boston Diary Manhattan Diary Metropolitan Desk Diary InfoPlan Diary

Chicago Diary Man. Daily Plan-it San Francisco Diary InfoPrint Diary

Los Angeles Diary Metropolitan Diary InfoCord Diary

Optional:

age:	under 18	18-25	26-40	41-65	65+
gender:	male	female
occupation:

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)

City Diaries
City Notebooks
Corporate Gifts/quantity discounts
Customization options
Digital photo products
Mail order/early order discounts
Non-city specific/general U.S. information diaries
Photo albums, scrapbooks & supplies

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

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