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Mom's Club Registration Form
Fields marked with * are mandatory.
Parent's Detail
Mother's Name *     Date of Birth *  
Father's Name *     Date of Birth *  
Marriage Anniversary    

Address

    
City Pin
Phone No Mobile
E-mail *          
Baby's Detail
Name *         Date of Birth *  
Name Date of Birth  
Educational Details
Self Spouse
Occupational Details
Self Spouse
Monthly Expenditure on Baby Products

 
Name of the shop(s) from where you purchase baby products
 
Have you ever heard about Tenderils
If yes, where have you heard about Tenderils from
Which of the following Tenderils products have you bought recently
How do you rate the Quality of Tenderils v/s other brands
Most convincing quality that made you to purchase Tenderils
Reason for not purchasing Tenderils
Rank from 1 to 6, as per priority, issues you keep in mind most before you purchasing baby products
Brand Price Doctor's Recommendation    
Advertisment Hygiene Pack Size    
Brand usage details
S.N. Product Quantity / Size Frequency of Purchase
1 Body Wash / Soap
2 Hair Wash / Shampoo
3 Massage Oil
4 Bath Oil / Antiseptic
5 Baby Cream
6 Baby Lotion
7 Nappy Rash Cream
8 Baby Talc
Your fev. program(s) on TV channels
a) b) c)
Which magazine do you read the most?
a) b) c)
Which newspaper do you read?
a) b) c)
Give name the get Gifts !!!
Refer us the names and contact details of your friends and we will send them exclusive invitation to join the 'Tenderils Mom's Club'. On receipt of their completed forms, we will send you exciting gifts.
Name
Address
Contact No.
   
Name
Address
Contact No.
   
Name
Address
Contact No.
   
Name
Address
Contact No.
   
Name
Address
Contact No.
   
I would like to place a Home Delivery Order of Tenderils for the following products.
S.N. Product Units S.N. Product Units
1 Nourishing Cream 6 Baby Talc
2 Hair Wash 7 Bath Oil
3 Massage Oil 8 Nappy Rash Cream
4 Body Wash 9 Gift Pack (consists of 1, 2, 3, and 4)
5 Baby Lotion  
   
Thank you for devoting your precious time, we will hope this will go a long way in strengthening our relationship.
 
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