John, thank you for visiting!

Because we care about you, we would like to know a little more about you. In hopes to better serve you, please take this brief survey.

After submitting your information by clicking the submit button below, please visit us at www.tukaiz.com to learn more about our imaging, print, and interactive services.

Contact Information (Please check accuracy and correct if necessary.)

First Name:
Last Name:
Company:
Work Phone: - -
Email:
 
Address 1:
Address 2:
City:
State:   Zip:

Additional Information

Gender:
Birthday:
(mm/dd/yyyy)		 / /
Position / Title:
Industry:
Imaging Needs:
(check all that apply)




 
Print Needs:
(check all that apply)





Interactive Needs:
(check all that apply)





Would you like to know more about campaigns such as this, where direct mail and personalized url webpages work together?
Do you have any other interests?
Other comments or suggestions…

Would you like to be contacted?
Preference of communication:


As noted on the direct mail piece you received, this promotion is now over.

The cut-off for entry was Friday, May 23 12 Noon CST.

Professional Baseball Team of Choice:
Desired Name on Jersey:
Desired Number on Jersey: