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Customer Interest Form Questions for Kyusu by Kiko LLC
Full Name
*
Email Address
*
Phone Number
*
Preferred Contact Method (Email/Call/Text)
*
Product Interest
Which collection(s) are you interested in? (select all that apply)
Cup of Tea Collection ($35)
Tea Time Collection ($45)
Mizusashi Collection ($55)
Signature Collection ($65)
Custom Arrangement
Group Experience/Workshop
Purpose & Preferences
Is this for a specific occasion or purpose?
Personal enjoyment
Gift for someone
Office/Business space
Event centerpiece
Other
(Please specify)
Do you have a preferred plant type?
Snake Plant
Prayer Plant
Arrowhead Plant
Pink Dalmation
Heartleaf Philodendron
No preference/Any recommendation
Do you have a vessel color preference?
White/Cream
Dark (Black/Brown)
Colorful/Patterned
No preference
Discovery & Follow-up
How did you hear about Kyusu by Kiko?
Social Media
Friend/Family Referral
Local Event/Pop-up
Online Search
Other
(Please specify)
When would you like to make a purchase?
As soon as possible
Within the next month
Just browsing for now
For a specific date (please specify)
Any additional information or questions?
Would you like to subscribe to our newsletter for care tips and new collection announcements?
Yes
No
Submit
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