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This will help us follow up promptly on your concern.

We’d like to learn more about your product.

This will help us follow up promptly on your concern.

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Welcome! Please select an option to email us.

Column 2 NOTFOUND

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Please provide the product name and the flavor.

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Column 3 REASON

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Column 4 COMMENT FORM

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I am at least the age of majority in my province/territory of residence OR I am between 13 years of age and the age of majority in my province/territory of residence AND my parent or legal guardian has given me permission to contact you (and share my personal information)

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Column 5 CONCERN FORM

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Please provide some information about your product.

This information helps us better track down the specific product and manufacturing information. Please take the time to complete this form to the best of your ability.

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1. Tell us about the container.

Package Weight (grams)

ex. 47 g, 60 g, 75 g

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1. How many packages in total were affected?

2. How many packages in total were affected?

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Please enter a 10 digit or 6 digit bar code in the appropriate box below.

See bar code example

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2. Please provide the following information.

3. Please provide the following information.

What's the "Guaranteed Fresh" date? One or two lines on the package.

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See dip example

"Guaranteed Fresh" date

ex. SE21 208126745

Code below the date

ex. 34 13:57 NO26

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When was it purchased?

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When was the package opened?

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When did you notice the problem?

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Title

First Name*

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Street Address*

Apt.

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City*

Province*

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Postal Code*

Email Address*

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Daytime Phone Number

(e.g., 123-555-9876)

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Yes
No

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Back

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Hidden Fields

Routing

Source

Flavor

Product

Suppressed UPC

UPC

Full UPC

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Contact

Refer

Data Signature

Session

Column 6 COMPLIMENT FORM

Form Page 1 of 2

Please share your comments with us.

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Your feedback is appreciated!

Your personal information is never shared outside the company. Read our privacy policy.

* Required fields.

Please correct the below errors before continuing.

Title

First Name*

Last Name*

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Street Address

Apt.

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City

Province

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Postal Code*

Email Address*

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Daytime Phone Number

(e.g., 123-555-9876)

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Shimmed height is 10px

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Yes
No

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Back

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Shimmed height is 70px

Hidden Fields

Routing

Source

Flavor

Product

Suppressed UPC

UPC

Full UPC

Product Group

Contact

Refer

Data Signature

Session

Column 7 REPLYFORM_MISSING

Column 8 GENERIC_REPLYFORM

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Column 9 UPCSEARCH

What's the bar code?

See bar code example

Please enter a 10 digit or 6 digit bar code in the appropriate box below.

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We're sorry, we couldn't find the bar code that you entered. Tell us more.

Column 10 UPCCONFIRM

We found your bar code!

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Column 11 FORMUPCCONFIRM

We found your bar code!

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Column 12 UPCSEARCHCONTROL

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