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would like to know who you are and what your like to read! By taking the time to complete this form, That Bookstore in Danville will give you 10% off your first mail order* to say, "Thanks!"
*Except for merchandise already on sale
Your first name
Your last name
Your e-mail address
Your street address (for mailing purposes) & apartment or suite number
Your city
Your state
Your zip code
Your telephone number (please include area code)
Do you like to read
fiction
nonfiction
both
Please check the genre(s) your like to read most:
adventure
fantasy
gothic
historical
horror
humor
juvenile
mystery
poetry
religious
romance
sci-fi
suspense
western
children
animals
biography
travel
business
parenting
computers
cooking
gardening
medicine
philosophy
photography
reference
sports
young adult
other
please explain other
How many readers are in your family?
1
2-3
4-5
6 or more
What are the age ranges? (check all that apply)
less than 5
5 to 8
9 to 12
13 to 18
19 to 26
27 to 45
46 to 62
older than 62
Who are your favorite authors?
What is the name of the last book you read?
What would you like to see this site offer you?
Would you be interested in receiving an online newsletter from That Bookstore in Danville?
yes
That Bookstore in Danville thanks you for your participation!
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