Zuke's Retail Store Samples

Retail Store Sample Requests

This form is only for accounts that sell Zuke's products. If you do not resell Zuke's, click here.

Requests should be received a minimum of 4 weeks prior to the event date.

If you cannot meet the 4 week timeline, please fill out the form below and contact Matt at 866-985-3364. We will request a credit card # and you will be responsible for payment of rush shipping charges (please be advised that expedited shipping can cost as much as $200).

Canadian Customers - Please contact your distributor.

Fields in Bold are required.

(1) Do you buy Zuke's directly from us? Yes No
(2) Is this request for an event? Yes No

Event Information:

(21) Customer Samples (Not Event Related) - Please indicate the quantity of samples requested below.

I/we hereby agree that any donation received shall not be used for resale. All donations received from Zuke's LLC shall be used only for the event and/or organizations listed on this application. In addition I/we agree to give Zuke's LLC permission to use event materials such as webpages, copy, photographs and any other materials about the event. Yes No

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