First Name

Last Name

Address

Email

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Have you shopped at Baumgartner's before? Yes No

How did you hear about our website?
TV Radio Web Search Friend Other

What type of furniture are you shopping for?
Living Room Bedroom Dining Room Office
Window Treatments Flooring Mattresses Other

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Television

Day you watch TV the most: Weekdays Weekends N/A

Time of day you watch the most: AM P M N/A

Favorite local channel: KOMU-TV8 KRCG-13 KMIZ-17 N/A

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Radio

Day you listen to radio the most: Weekdays Weekends N/A

Time of day listen to radio the most: AM P M N/A

Favorite type of music:
Oldies Country Talk Rock Easy Listening N/A

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Newpaper

Do you subscribe to a local newspaper? Yes No

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