Request for Gatherings or Shows

We are delighted to offer goody bags, table samplers, door prizes and/or catalogs for eligible trade shows, conferences and gatherings. Please complete the below form so that we can learn more about your event and send the appropriate product donations to you.

In order to qualify for event contributions/donations, a Web site address that announces the event must be provided. We reserve the right to politely decline contributing donations to any gathering or show that cannot be verified or that does not pertain to the industries that we serve (this includes soap making, spa, massage, aromatherapy, herbalism, toiletries and cosmetics).

Contact Information
Gathering Name:
Hostess First Name:
Hostess Last Name:
Address:
City:
State:	Non-US/Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces America Armed Forces Other Areas Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Micronesia Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip Code:
Country:	United States Albania Algeria American Samoa Andorra Angola Anguilla Antigua Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia Botswana Bouvet Island Brazil British Island Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Islands Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia (Hrvatska) Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equitorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Falkland Islands (Malvinas) Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain (UK) Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Islands and McDonald Islands Herzegovina Holland Honduras Hong Kong Hrvatska Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Keeling Islands Kenya Kiribati Kosrae Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Madeira Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Moldova Monaco Montserrat Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norfolk Island Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Ponape Portugal Puerto Rico Qatar Republic of Ireland Republic of Yemen Reunion Romania Rota Russia Rwanda Saba Saipan Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands South Africa South Korea Spain Sri Lanka St. Barthelemy St. Christopher St. Croix St. Eustatius St. John St. Kitts Nevis St. Lucia St. Maarten St. Martin St. Thomas St. Vincent the Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Tinian Togo Tonga Tortola Trinidad Tobago Truk Tunisia Turkey Turks Caicos Islands Tuvalu Uganda Ukraine Union Island United Arab Emirates United Kingdom United States Uruguay US Virgin Islands Uzbekistan Vanuatu Venezuela Vietnam Virgin Gorda Virgin Islands (British) Virgin Islands (US) Wake Island Wales Wallis Futuna Islands Western Samoa Yap Yugoslavia Zaire Zambia Zimbabwe
Phone:
E-mail:
Web Site URL:
Gathering Information
Event Date:	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2013 2014
# of Expected Guests:
Gathering Topic:	Soap Toiletries Aromatherapy Herbs Perfume
Sampling Table:	Yes No
Door Prizes:	Yes No
Need gathering Goodies?	Yes No
Bulk Purchase:	Yes No
If so, any price requests for bulk quanitites?
Special Requests:
	Please type the letters/numbers from the graphic above