Information Request Form


This information is used only to assist you with your fundraiser and is kept strictly confidential.
If you have any questions about any of our products or services or would like to begin your fundraiser immediately, call us at 1.888.378.9888.
Use the "Tab" key or Mouse Pointer to go to the next box.
Do not use the "Enter" key.
* First Name:
* Last Name:
* Street Address:
* City:
* State:
* Zip Code:
Phone Number:
* Email Address:
Please add me to your Email Newsletter.
* Group Name:
* Group Type:
How many members will
participate in this fundraiser?
What is your Goal
for this Fundriaser?
When do You Plan to Start
Your Next Fundraiser?
Questions or Comments:
Please select the items that you yould like us to mail you additional information about. This form is for information and not actual samples of the products.
Please limit your request to a maximum of 8 items.
If you need product samples or information about more than 8 items, please explain in the comments section above or call us toll free at 1.888.378.9888.
Candy Assortments
Hershey's Candy Assortments
Hershey's Candy Assortments
"One Dollar Bar" Assortments
"One Dollar Bar" Assortments
Welch's Fruit Snacks
Welch's Fruit Snacks Assortment
Pretzel Rods
$1 Pretzel Rods
$1 Original Pretzel Rods Assortment
$2 Pretzel Rods
$2 Pretzel Rods
Concession Pretzel Rods
Concession Pretzel Rods
Lollipops
Gourmet Lollipop Creations
Gourmet Lollipop Creations
Cime Lollipops
Cima Lollipops
Starlyn's Chocolate Lollipops
Starlyn's Chocolate Lollipops
Rock Candy
Rock Candy
Snacks & Treats
Coffee Collection
Bags & Single Serve
Kettle Cooked Fudge, and Toffee,
Gourmet Caramels, and Chocolate Snacks
Hot Chili Pepper & Lime Tortilla Chips
The Ultimate Coffee Collection
Ultimate Coffee Collection
Delicious Treats
Delicious Treats
Gourmet Delights
Gourmet Delights
Takis Fuego Chips
Takis Fuego Chips
Gourmet Snacks
Gourmet Snacks
Indulge Your Healthy Side
Indulge Your Healthy Side
Home Sweet Home
Home Sweet Home
Gourmet Caramel Corns
Gourmet Caramel Corns - 3 Price Points
Sugar & Spice
Sugar & Spice
Sweet & Savory
Sweet & Savory
Entertain Your Heart
Entertain Your Heart & Home
Gourmet Popcorn, Beef Jerky & Auntie Anne's Pretzels
Gourmet Popcorn Oberto Beef Jerky Auntie Anne's Pretzels
Van Wyk Gourmet Popcorn
Gourmet Popcorn
Oberto Beef Jerky & Beef Sticks
Beef Jerky & Smoked Sausage Sticks
Auntie Anne's Pretzels
Auntie Anne's Pretzels
Cookie Dough
"Crazy About Cookies"
Pine Valley Cookie Dough Tubs
Tubs
Pine Valley Pre-Portioned Cookie Dough
Preportioned
Cookie Dough Tubs and Preportioned
Tubs & Preportioned
Pine Valley Ten Dollar Cookie Dough
Ten Dollar Packs
Candle Collections
Heart of America
Heart of America
American Country
American Country
Coming Home
Coming Home
Fresh Scents
Fresh Scents
Tis The Season
Tis The Season
Seasonal & Specialty Items
Flower Bulbs & Flower Seeds
"Velvet Couture" Jewelry Collection
"Velvet Couture" Jewelry Collection
Home Decor
Home Decor
"Sensational Gifts" Fall Holiday Brochure
Seasonal Brochures
(CALL US)
Nature in Bloom
"Art in Nature"
Blooming Wrap
"Blooming Wrap"
By clicking the "Submit Request" button, I Certify that all of the information entered is truthful and accurate and that I am over 18 years of age and a responsible person for the above named group/organization.