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Questionaire
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(* = Required Fields)
Mailing Address:
*Real Name:
*Address:
Apartment #:
*City:
*State:
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Terr.
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Isl.
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
*Zip Code:
*Phone Number:
*Email Address:
Click here if the shipping address is the same as your mailing address.
Shipping Address:
Address:
Apartment #:
City:
State:
Choose State:
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Terr.
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Isl.
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Zip Code:
Products:
Bathroom:
Bath Accessories
Item #: BA001 Quantity:
Add:
Price: $19.95
Faucet
Item #: BA002 Quantity:
Add:
Price: $21.95
Shower
Item #: BA003 Quantity:
Add:
Price: $99.95
Sink
Item #: BA004 Quantity:
Add:
Price: $49.95
Tub
Item #: BA005 Quantity:
Add:
Price: $109.95
Bedroom:
Closet
Item #: BE001 Quantity:
Add:
Price: $69.95
Night Light
Item #: BE002 Quantity:
Add:
Price: $9.95
Smoke Detector
Item #: BE003 Quantity:
Add:
Price: $7.95
Books and Videos:
Home Improvement Book
Item #: BV001 Quantity:
Add:
Price: $9.95
Home Improvement Video
Item #: BV002 Quantity:
Add:
Price: $19.95
Electrical:
Audio Visual Kit
Item #: LE001 Quantity:
Add:
Price: $99.95
Cords & Wires
Item #: LE002 Quantity:
Add:
Price: $59.95
Floor Plans:
Floor Plan Book
Item #: FP001 Quantity:
Add:
Price: $11.95
Floor Plan Software
Item #: FP002 Quantity:
Add:
Price: $49.95
Garage:
Garage Door Hardware
Item #: GA001 Quantity:
Add:
Price: $39.95
Garage Door Opener
Item #: GA002 Quantity:
Add:
Price: $89.95
Hand Tools:
Hand Tool Accessories
Item #: HT001 Quantity:
Add:
Price: $49.95
Cutting Tool
Item #: HT002 Quantity:
Add:
Price: $39.95
Drywall Tool
Item #: HT003 Quantity:
Add:
Price: $39.95
Measuring Tool
Item #: HT004 Quantity:
Add:
Price: $19.95
Hardware:
Door Fastener
Item #: HA001 Quantity:
Add:
Price: $9.95
Door Lock
Item #: HA002 Quantity:
Add:
Price: $39.95
Window Hardware
Item #: HA003 Quantity:
Add:
Price: $39.95
Kitchen:
Disposal
Item #: KI001 Quantity:
Add:
Price: $39.95
Faucet
Item #: KI002 Quantity:
Add:
Price: $49.95
Range Hood
Item #: KI003 Quantity:
Add:
Price: $89.95
Sink
Item #: KI004 Quantity:
Add:
Price: $109.95
Laundry Room:
Dryer
Item #: LR001 Quantity:
Add:
Price: $399.95
Laundry Supplies
Item #: LR002 Quantity:
Add:
Price: $19.95
Washer
Item #: LR003 Quantity:
Add:
Price: $399.95
Lawn and Garden:
Garden Tools
Item #: LG001 Quantity:
Add:
Price: $89.95
Robotic Power Mower
Item #: LG002 Quantity:
Add:
Price: $609.95
Living Room:
Ceiling Fan
Item #: LV001 Quantity:
Add:
Price: $59.95
Home Security System
Item #: LV002 Quantity:
Add:
Price: $109.95
Other:
Safety Equipment Kit
Item #: OT001 Quantity:
Add:
Price: $49.95
Outdoor:
Playground Equipment
Item #: OD001 Quantity:
Add:
Price: $299.95
Water Gardening System
Item #: OD002 Quantity:
Add:
Price: $99.95
Outdoor Living:
Outdoor Decor
Item #: OL001 Quantity:
Add:
Price: $29.95
Paint & Supplies:
Paint Accessories
Item #: PS001 Quantity:
Add:
Price: $59.95
Paint Tools & Supplies
Item #: PS002 Quantity:
Add:
Price: $79.95
Power Tools:
Hand Power Drill
Item #: PT001 Quantity:
Add:
Price: $99.95
Hand Power Sander
Item #: PT002 Quantity:
Add:
Price: $99.95
Hand Power Saw
Item #: PT003 Quantity:
Add:
Price: $99.95
Project Plans:
Dog House
Item #: PP001 Quantity:
Add:
Price: $49.95
Garage
Item #: PP002 Quantity:
Add:
Price: $49.95
Gazebo
Item #: PP003 Quantity:
Add:
Price: $49.95
Picnic Table
Item #: PP004 Quantity:
Add:
Price: $49.95
Workbench
Item #: PP005 Quantity:
Add:
Price: $49.95
Software:
Floor Plan Designer
Item #: SW001 Quantity:
Add:
Price: $59.95
Storage:
Basement Storage Kit
Item #: ST001 Quantity:
Add:
Price: $49.95
Garage Storage Kit
Item #: ST002 Quantity:
Add:
Price: $49.95
Payment:
*Credit Card:
Visa
Master Card
Discover
American Express
*Credit Card Number:
*Expiration Month:
01
02
03
04
05
06
07
08
09
10
11
12
*Expiration Year:
2000
2001
2002
2003
2004
2005
2006
Shipping Method:
*Choose the type of shipment:
UPS ($10.95/2-3 Business Days) Add $10.00 per 100 lbs.
FedEX ($11.95/2-3 Business Days) Add $9.00 per 100 lbs.
Priority Mail ($9.95/2-4 Business Days) Add $8.50 per 100 lbs.
Questionaire:
*How would you rate the website's help?
Very Helpful
Helpful
Ok
Not Helpful
*How would you rate the website's design?
Excellent
Good
Fair
Poor
*How would you rate the website's navigation?
Excellent
Good
Fair
Poor
*How would you rate the website's information?
Excellent
Good
Fair
Poor
*How would you rate the website overall? (10 - Best)
1
2
3
4
5
6
7
8
9
10
Any comments?