2010 Catalog Sign-up Form Survey

We are thrilled to introduce the first issue of Surprises our new holiday "magalog". What's a magalog? It's a combination of a magazine and a catalog. We hope you will enjoy reading it. Please fill out this short form to make sure we have your most current mailing address.

If you received our 2009 catalog and your address has not changed, or if you have already given us your mailing address in 2010, you do not need to fill out this form.

As always, your personal information is safe with us.

Question Title

* Please provide us with the following:

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zipcode

Email Address

Question Title

* What is your current catalog mailing list status?

I HAVE received a Magic Beans catalog in the past and my address HAS NOT changed since then.

I HAVE received a Magic Beans catalog in the past and my address HAS changed since then.

I have never received a Magic Beans catalog - sign me up!

Question Title

* Would you like to receive our BeansTALK email newsletters? Each one is packed with great information and is created by parents for parents.

Yes

No thanks

I already do

We try to send out relevant and interesting information in our BeansTALK newsletters. If you would like, please fill in the following information so we can better serve you.

Question Title

* Which best describes your primary relationship to kids between the ages of 0-12?

Parent

Expectant Parent

Grandparent

Aunt/Uncle

Caregiver

Friend

Other (please specify)

Question Title

* What kinds of information would you like to receive from us? Choose all that apply.

Baby Gear

Toys

Giveaways

Recalls

Parenting advice

Recipes

Craft Projects

Local Events

Other (please specify)

Question Title

* We love making helpful suggestions to make your life easier. Please list the due date and/or birthdays of the kids in your life.

Due Date (if expecting)

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Question Title

* Please provide us with the following:

Question Title

* What is your current catalog mailing list status?

Question Title

* Would you like to receive our BeansTALK email newsletters? Each one is packed with great information and is created by parents for parents.

We try to send out relevant and interesting information in our BeansTALK newsletters. If you would like, please fill in the following information so we can better serve you.

Question Title

* Which best describes your primary relationship to kids between the ages of 0-12?

Question Title

* What kinds of information would you like to receive from us? Choose all that apply.

Question Title

* We love making helpful suggestions to make your life easier. Please list the due date and/or birthdays of the kids in your life.

Question Title

* Thanks so much for filling out your infomation! Please share any comments here.