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After filling out our form, please be sure to check the items at the bottom that are areas of interest. It will help us provide better service to you, our valued customer!

How did you hear about Pee Jay's?

Your name:

Address:

City:

State:

Zip Code:

Is this your home, work or school address?

Phone:

Cell Phone:

Email: *

Organization:

Number of members:

Did your organization sell fruit last year?

If yes, who was your previous supplier?

What month does your group review their fruit supplier or fundraising programs?

Who chooses your fruit supplier or fundraising programs?

What month do you receive your fruit order?

Number of boxes sold:

Are you in charge of the sale?

Before submitting, please check to make sure all of the boxes are completed.

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