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First Name     Last Name     Address     Suite/Apt.     City State <Select> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Guam Puerto Rico Armed Forces Americas (AA) Armed Forces Outside Americas (AE) Armed Forces Pacific (AP) New Brunswick Newfoundland Alberta Northwest Territories Nova Scotia Prince Edward Island Quebec Saskatchewan Ontario Yukon Territory Manitoba British Columbia None Zip     Phone E-mail         Sex Female Male Age bracket 18 and under 19-32 33-50 51 and over Number of hats you currently own? 0-4 5-11 11-20 20+ Number of hats that you plan to buy next year? 0-4 5-11 11-20 20+ Favorite hat styles (select all that apply)   Fedora Western Bucket Floppy Newsboy Favorite hat material (select all that apply) Felt/wool Straw Suede Leather Other Would you be interested in custom made hats? No Yes If yes, what type (select all that apply) Personalized with name Custom decoration Custom fabric Other What woud motivate you hat purchase (select all that apply) Price/sale Style Celebrity wore it Magazine article Comments, Questions, Suggestions

Giveaways: Each month, SMartHats.com will randomly select a winner of a SMarthat. Check here if you want to be included in this drawing.     Trend E-Newsletters: If you'd like to recieve the SMartHats.com trend update e-newsletter.     Frequent Buyer/Referral Program: SMartHats.com wants to reward our frequent shoppers and friends who refer us to their friends. So, we have a special "Buy 6, Get the 7th Free" program whereby 1: When you purchase 6 SMartHats, your 7th hat is free ($50 value) and 2: If you refer 6 or more customers to our site, and they mention your name in their order, you get a hat free! Who says you can't get something for nothing?                         SMartHats.com will not sell, rent, swap, or otherwise disclose your identifying information to any third party for them to use in selling others' products or services. For more information read our Privacy Policy.