SUGGESTION FORM

Thanks for visiting our site.

We would like to serve you to the best of our ability.

Please take a moment to let us if there are any products that you would like us to carry

that you do not see here.

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Country:

Telephone/Fax:

Email Address:

Please tell us how you found our site originally.

(Search engine, directory, shopping mall, link from another site, etc.)

Is there any particular type of product or product line that you feel

we should sell on our site?

Are there any items on our site that you would like to see more of?

Check Yes if you want to receive announcements by email of upcoming specials and new products. Yes No

Thanks so much for answering the questions on this form!