First Name:

      Last Name:

      Address (No PO Boxes):

      City:

      State: *All 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Virgin Islands American Samoa Guam

      Zip/Postal Code:

      Phone Number:

      E-Mail Address:

      Birth month and year of your child: *Month January Febuary March April May June July August September October November December *Year 2007 2006 2005 2004 2003 2002 2001

      Child's name:

     Zooper model you want to enter to win: *Zooper model 2006 Rocker MSRP US$69 2007 Safety Gate MSRP US$69 2007 Salsa Stroller MSRP US$129
       (gifts change quarterly)  
      
      How many Zooper products have you owned?: ** 0 1 2 3 4 5 or more

      Where did you first hear of Zooper?: ** Friends or Family Specialty store recommendation Internet research American Baby Magazine ad American Baby On-line ad Fit Pregnancy Magazine ad Fit Pregnancy On-line ad Other

      What first interested you in Zooper?: *** Design Colors Features Included Accessories Value Quality Construction Reputation

    What is your favorite…

           Zooper model? *** Zydeco Bolero Hula Waltz Tango Twist Boogie Salsa Ska Hook-on-chair Peas & Carrots Rocker

           Feature: *** Air Wheels Smart Fabric Weight One-hand Seat Recline Newborn Friendly Full Recline Seat Easy Fold One-hand Fold Suspension Infant Carrier Compatible Dual Direction Seat Auto-latch Frame Lock Removable Front Armrest Convenient Handle Brake Lock Convenient Handle Swivel Lock

           Color: *** Red Black Dark Green Brown Purple Blue Navy Pink Green Sky Purple Sky Pink Sky Blue Sky Green Yellow Circle Vinyl Red Circle Vinyl Red Vinyl Beige Vinyl

           Type of retailer: ** Specialty Store Chain Store Internet Retailer

      What products would you like to see from Zooper?:
       

* * I agree to the Contest Rules