Business Name *

Business Website URL

Billing Address & Street *

Billing City & State/Province *

Zip Code/Postal Code *

Billing Country *
United States Canada

Shipping Address *
same as above

Shipping Address & Street

Shipping City & State/Province

Zip Code/Postal Code *

Shipping Country
United States Canada

Tax ID # (US) OR Social Service Tax # (PST - Canada) *
(for business verification purposes)

Name of Contact Person *

Email Address *

Telephone Number *
( )

Fax Number
( )

Tell us a little about your business.

In order to receive the free sample kit,
PLEASE COMPLETE THE FOLLOWING SURVEY:

My role in the business I am representing:
owner
assistant
manager
company event coordinator
other (please specify below)

How long has your business been in operation?
months & years

Approximately how many times have you
required an order of favor boxes in the last year?

What is your annual gross revenue?
under $70,000
over $70,000

Would you like periodic email updates on new designs and announcements
about the Lil Favors Company?
Yes, please.
No, thanks.

For every year that you place an order with Lil Favors, you will receive
the annual sample kit of new designs by us for free.

All personal information sent to Lil Favors Company will be kept confidential
and will not be shared with any third parties.