Upper Hutt Clown Shop
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Random Clowns

Online Survey

Name:
 
Email address:
 
Where did you hear about this web site?
 
Roughly how old are you?

   9 or under
   10 - 14
   15 - 19
   20 - 29
   30 - 39
   40 - 59
   60 or more
   Never you mind!

 

Would you like to be able to place balloon orders online at this web site?
 

   Yes      No

 
Would you like to be able to pay for orders online here? (By using a credit card instead of posting a cheque.)
 

   Yes      No

 
Would you like to be emailed if we make these features available?
 

   Yes      No

 
Would you like to be on our email list?
 

   Yes      No

 

Comments:

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