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Request Samples and Literature for your school or organization

Many schools have requested samples and information to send home with every student at the school. In order to make this process easier, we have set up this simple online sample request form.

One display case contains 200 x ½ oz (14g) samples of WOWBUTTER, enough samples for 200 students or members. Each shipment will also contain enough information flyers for everyone.

This offer is available only to SCHOOLS and ORGANIZATIONS in Canada and the U.S. We will need to confirm your eligability before shipping and samples are shipped in order of request.

You can print extra flyers or classroom posters by clicking on the buttons below:

 

ALL FIELDS ARE REQUIRED

Requested # of display cases	1 2 3 4 5 6 7 8 9 10 Each pack contains 200 x ½ oz (14g) samples
Request Classroom Posters	0 5 10 15 20 25 30 35 40 45 50 Indicate the number of optional reminder            posters for classrooms that you wish us to send.
Organization
Number of Students/Members
Type of Organization:	------SELECT------- School Day Care Camp Health Center Allergy Group Allergy Event Consumer/Parent group or Other (please specify):
Is the School or Day Care peanut free? YES NO Does your School or Day Care have a breakfast or snack program? YES NO If yes, how are the food items purchased / acquired for the program? If from a food distributor, which one? Does your School or Day Care sell food items to students from a "Tuck Shop" at the school? YES NO If yes, how are the food items purchased for the "Tuck Shop"? If from a food distributor, which one?
How will the samples be used?
Name of person approving sample request:*
I certify that these samples are being requested by or on behalf of the Director or Manager named above and will be used strictly for sampling, education and awareness activities for the benefit of the entire organization and community.
Your Full Name*
Organization Phone Number*	(please include area code)
Your e-mail address*
SHIPPING ADDRESS:
Address 1*
Address 2
City*
Province/State*	Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories and Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon --------------------------- Alabama Alaska Arizona American Samoa Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam 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 Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Country	Canada United States
Postal Code*