If you'd like to
suggest a product for North Farm to carry, please fill out this form
and return
to: North Farm Cooperative, New Products Committee, 204 Regas
Road, Madison, WI 53714
Toll-Free Fax: 1-888-632-3276,
Local Fax: 608-241-0688
We are happy to consider your request. However,
because of the number of requests we are unable
to respond directly. |
Date of Request: ______ Customer
#: _____ Customer Name: ______________________
Your Name_______________________________________________________________
(VERY IMPORTANT)
Your Phone # _____________________ Your e-mail: ________________
Product Name (include any additional information such as label, brochure,
size of item, etc):
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
(VERY IMPORTANT) UPC Numbers (First
5 and last 5 digits): _ _ _ _ _- _ _ _ _ _
Manufacturer Name/Address:
_________________________________________________________________________
_________________________________________________________________________
Manufacturer's Phone # _________________________
Manufacturer's E-mail and/or Website:
___________________________________________
Describe why this product appeals to you and what is the use of this
product:
_________________________________________________________________________
_________________________________________________________________________
Where did you purchase this item and at what cost?
_________________________________________________________________________
_________________________________________________________________________
What quantities will you purchase and how often?
_________________________________________________________________________
_________________________________________________________________________
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