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Sampler Box Sign Up Form Page


To sign up to send in your samples, please use the form below.

After signing up, I will email you with all the additional information you will need, for shipping, packaging and further promotional opportunities.

Please be sure to submit a valid email address, that you check regularly, as this will be where I send reminders and all communication, regarding your participation.

If you don`t see an email response within 7 days after you submit the sign up form, then check your spam/junk folder of your email account. Please email me if you can`t find it at all.

I`m looking forward to working with you, and promoting your business!

Blessings, Michelle

Email Address:
Business Name
Website Link
Facebook Link
Twitter Link
Pinterest Link
Instagram Link
Months Contributing January
June Additional Mens Box
Sample Amount 30 (Minimum)
Do You Have a 150x150 Ad Button (Business Logo Image) YES, I will email it to you
NO, I will get one made (available at )
YES, I have participated previously, you have it on file
DEADLINES FOR SAMPLE ARRIVAL I'm sending NON-PERISHABLE ITEMS, need to arrive to me by the 25th of the previous months you signed up for.
I'm sending PERISHABLE ITEMS, need to arrive to me by the Saturday BEFORE the FIRST MONDAY of the month I signed up for.
CONTRACT COMMITMENT By filling out this form, you are signing a contract and commitment to follow thru with sending in your samples. Those businesses' who do not honor their commitment may not be allowed to participate in future boxes. I UNDERSTAND THIS COMMITMENT.
AN EMAIL WILL AUTOMATICALLY BE SENT TO YOU with additional information, packaging and shipping guidelines. Please check your inbox and junk spam folders for it. If you don't receive it, please email me right away. I WILL CHECK MY INBOX AND JUNK SPAM FOLDER FOR THE FOLLOW UP EMAIL.

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We are now accepting contributors for our 2019 Samplers.

Give your business the attention it deserves!

Sign up today!!!