All fields need to be filled out to be
eligible for the $5 coupon.
Name (First Last)*
Email*
Gender
Male
Female
Age
Under 18
19-29
30-39
40-49
50-59
60-69
70+
Annual household income
Less than $18,999
$19,000-$39,999
$40,000-$59,999
$60,000-$79,000
$80,000-$99,999
$100,000
How did you learn about
KUSIKUY?
Friend
Coop America/Green
Pages
Fair Trade Federation
Website Link
Magazine Ad.
Search Engine
Trade Event
Other
What made you consider
KUSIKUY
Fair Trade Status
Organic Wool
LLama/Alpaca Wool
Machine Washable
Price
Style
Handmade
Other
Have you purchased Fair
Trade Products before?
Yes
No
Have you purchased Organic
Fiber (clothing) products before?
Yes
No
Why will you purchase KUSIKUY?
Gift
For Self
For a family member
Other
Where would you use your
KUSIKUY purchase?
Office/Work
Weekend/Home
Both
Other
What other products would
you like to see KUSIKUY carry?
Which state do you live
in? (if in the US)
Select One
Alabama
Alaska
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AA-APO/FPO
AE-APO/FPO
AP-APO/FPO
Upon successful submission you will be
redirected to the Kusikuy homepage. Thanks!