Riversweet Citrus Information Request Form

Tell Us A Little About You!

Please submit the following form to receive our comprehensive sales kit. We will include our Leaders Guide, VHS Videotape, and copies of our promotional materials and sales tickets.

This is your first step to realizing HUGE PROFITS while providing your local community with a great service.

Mr., Mrs., Miss:

Your Name:

Title:

Organization Name:

School Name:

Mailing Address1:

Mailing Address2:

City:

State/Province:

Postal Code:

Country:

Above Address is My:

Day Phone Including Area Code:

Eve. Phone Including Area Code:

Fax Number Including Area Code:

e-mail address:

Best Time to Contact You:

Approx. # of Members in Your Organization:

Your Comments: