You could use a laptop, iphone, ipad etc. and create a simple online form using a site like wufoo.com or survey monkey. I have had the associates on my team create more complex data collection processes using wufoo.com and it works pretty well. You can easily export the data. Just make sure you have something on the form that tells the customer what you are going to use the info for. If you want to create a marketing database and email out to your customers, you may want to look at companies like constant contact and vertical response (small business email marketing companies).
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