First Name:

  

What's This?
There are some areas which need to be completed before you will be able to send the form for your FREE Little Book. The areas are marked with a circle like this one. Please make sure you answer all the marked questions before you submit the form.

Last Name:

Address:

 
 

Postcode:

Email Address:

Age:

From the following list of the our current Little Book range, which titles would you be interested in buying?


Would you pay �2.99 for your Little Book?

Yes

No

 

Have you bought one of our Little Books?

Yes

No

 

If yes, which Little Book....


Did you buy the Little Book for yourself?

Yes

No

   

Did you buy the Little Book as a gift?

Yes

No

   

Where did you buy it?


How much did you like the content?

Very

Quite

Not Much

 

How much do you like the cover?

Very

Quite

Not Much

 

Any other comments about this book (in less than 300 words.)

       
       

From the following list of forthcoming Little Book titles, which would you be interested in?


Are you interested in any other MOM titles? (Please specify by typing in the box)


Have you ever bought any of our books from Amazon or other websites?

Yes

No

 

YOUR IDEAS IN PRINT

Do you have a good idea for a little book?

Yes

No

 

If so, please provide us with a brief description of your idea in less than 300 words.

       
       

Thanks for taking the time to complete this form. You are now entitled to a FREE Little Book! Please select one from the following list: