| Name of New Villager (First & Last Name): |
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| Email Address: |
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| Your Shop Name: |
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| Website URL (ie: http://www.SamplerVillage.com): |
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| Which month(s) would you like to participate and be a villager of Sampler Village? (Samples are due the 10th of participating month) |
April 2010 (Mother's Day Box)
May 2010 (Summer Fun Box)
June 2010 (4th Of July Box)
July 2010 (Pamper Me/Pamper My Pet Box)
NO BOX FOR AUGUST
Sept 2010 (Halloween Box)
October 2010 (Thanksgiving/Harvest Box)
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| How many samples are you sending in? |
20
30
40
50
60
70
80
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| Would you like to be "Mayor for a Month" in 2011? |
Yes
No
More Info Please!
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| What type of samples will you be sending? |
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| Please write a SHORT description of your shop. |
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| I will need a button banner. Please type in your banner URL. I will resize for you (if needed). If you do not have one, leave blank and please contact me. |
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| How did you find out about Sampler Village? |
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| Is your shop on etsy? We want you to be part of our Sampler Village Etsy Team. Are you interested? |
Yes
No
Maybe - Need More Info
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