Lane Home Furnishings

Please fill out the form below for entry into our sweepstakes.
Please visit the Official Rules and 2008 Winners List.

* = required

*Name:

Title
First
Middle Initial
Last

*Street Address:

Street Address2:

*City:

*State:

*Zip Code:

*Email:

*Date of Birth:

Phone:

Cell Phone:

Occupation:

*1. Gender:

Male
Female

*2. Age:

   Under 25
   25 - 34
   35 - 44
   45 - 54
   55 - 64
   65 and over

*3. Marital Status:

   Married
   Single
   Divorced/Widowed

*4. Type of Residence:

   Single family home
   Apartment
   Condominium
   Other

5. Children: Give number of children living at home by age category.

	None
	Under 13
	13 and over

6. Annual combined family income:

   Under $25,000
   $25,000 - $34,999
   $35,000 - $44,999
   $45,000 - $54,999
   $55,000 - $74,999
   $75,000 - $99,999
   $100,000 - $149,999
   $150,000 - $249,999
   $250,000 +

7. The following is a list of six purchase motivators that influence a purchase of home furnishings. Please rank each in order of importance to you in the purchase of this product with "1" being the most important and "6" being the least important. (Each influence must be given a number. Only use each number once.)

  Prestige of manufacturer or product made by the manufacturer
  Prestige of retailer from whom you bought the product
  Design of product (styling, finish, functionality, engineering)
  Quality of product
  Service of the retailer
  Price of the product

8. How did you become acquainted with Lane? (check all that apply)

Newspaper/magazine	Friend/relative	Internet
TV/radio ad	Store display	Other

9. Have you ever purchased any Lane furniture? Was it a joint purchase?

   Yes
   No
   Unsure

10. What are the most important features that would prompt you to purchase Lane product?

11. Would you suggest any improvements to Lane furniture?

12. Do you currently have a need to purchase furniture? If so what is the reason?

   Recent move
   Remodeling/addition to home
   Redecoration
   Furniture Replacement
   Desire for new furniture
   Second home
   Marriage
   Divorce
   Other

13. When was your last furniture purchase?

   Within last 6 months
   Within last year
   Within last 2 years

14. How long have you lived at your current residence?

   Less than 1 year
   1 - 5 years
   5 - 10 years
   Over 10 years

15. How likely are you to purchase products by Lane?

   Very likely
   Somewhat likely
   No opinion
   Somewhat unlikely
   Very unlikely

16. How likely are you to recommend Lane to others?

   Very likely
   Somewhat likely
   No opinion
   Somewhat unlikely
   Very unlikely

17. May we add your name to our Customer Response Panel? Periodically we request input from members of this panel. Sometimes you could receive compensation for your participation.

Yes No