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Rejuvenative Turn Order
Liaison Questionaire
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Turn Order
Name and Address of the local Natural Food Store you want to carry Rejuvenative Foods. If you have the phone number, please include it.
Store Name
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Address
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City, State, Zip
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Telephone
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Names and Quantities of Rejuvenative Foods items you are committing to purchase at above named store. Feel free to call us with any questions - 800-805-7957
Product Name & Quantity
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Product Name & Quantity
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Product Name & Quantity
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Product Name & Quantity
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How often would you want to purchase the requested items?
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Name of Rejuvenative Foods item you would like at no charge if we get an order because of your order. Feel free to call us with any questions - 800-805-7957
Product Name & Quantity:
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Contact Information
Your Name
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Street Address for no charge jar UPS shipment
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City
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State
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Zip
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Phone
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Email
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Would you like to promote Rejuvenative Foods in exchange for free jars? If so, check here and/or call us:
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Check here if you would like free full-color 3" X 8" laminated shelf-talkers sent with your order
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Check here if you would like additional free educational literature sent with your order
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All information that you give us will be kept private.
