Survey

Welcome to our web site. In order to help us improve our service, we need up to date buyer info. Please complete the following information. If possible, to give us as detailed information as possible. Then click Submit or print and fax to 818-727-7888.

First Name:

Last Name:

Address:

State, City, Zip

Country

E-Mail

Age Category

16-20

21-30

31-40

41-50

51+

1. Do you normally shop for lingerie on the internet?

Yes

2. Where is your favorite place to shop for lingerie?

3. How did you hear about us?

4. From which magazine did you find us?

5. What price do you usually pay for brassieres?

6. Do you want to be added on our mailing list?

Yes