Name

Address

City

State

Zip

Phone

E-Mail

Reasons I have visited or will be visiting Hickory:

(Please check all that apply)
I have visited Hickory before.
Furniture Shopping
Visiting friends / relatives
Vacation
Business trip
Attending a meeting / convention
Other reasons:

When are you planning to visit? 

How did you hear about us?

(Please check all that apply)
Newspaper
Television
Hickory Furniture Mart
Other Furniture Shopper
AAA Travel
AAA World
Southern Living
Carolina Country
Blue Ridge Country
Our State
Other:

Comments and special requests: