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Is this the first time you purchased or consumed this product?

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UPC Code (Please enter all 12 digits)

UPC Codes are on the side of the label, wrapper or box.

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Manufacturing Code (Look on product for code)

Manufacturing codes are on the end of the can, on the lid and/or neck of the jar or bottle, and at the bottom of the back of the pouch. Please include all numbers, letters, dates and symbols.

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Zip/Postal Code*

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Please tell us about you

First Name*

Last Name*

Email Address*

Address 1*

Address 2

City*

State* Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip/Postal Code*

Daytime Phone #* (Please enter 10 digits and exclude country code. E.g.: 5553334444)

File Upload

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Are you 13 years of age or older?

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Thanks for reaching out.  For customers outside of the United States and Canada, if you have questions or issues about the product you purchased, we ask that you please contact the store where you purchased it.  Thank you again for your interest in our product.