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Registration Form

First Name: *
Last Name: *
Spouse Name:
Address Line 1:
Address Line 2:
City: *
State: *
Zip Code: * (5 digits)
Home Phone:
Cell Phone:
(Strongly Encouraged)
Email: *
Referred by: Name  
First & Last Name
Referred by: Phone #
with area code
Referred by:
Other
How did you hear about us?
Chicken Breasts:
# of cases		  *If the price is between
                  $1.39 - $1.59 lb
Comments:

REGISTRATION OVERVIEW

Thanks for taking the time to provide us with the information to allow us to serve your needs. 

Our system is built upon good communication. The basic information you provide during the registration enables us to provide you with timely email communications regarding your orders and scheduled sales events.

SPOUSE: Requested in case your spouse picks up the order

CELL PHONE: Strongly encouraged because it enables us to call you if you have not yet picked up your order (but otherwise will not be used)

REFERRED BY: We ask you to let us know who referred you (especially important with giveaways). The phone number allows us to distinguish between those with common names.

CHICKEN BREASTS: Our most popular product—100% natural chicken with no added hormones, additives or artificial ingredients

COMMENTS: Please feel free to tell us what products you think we should carry and what other value we might add
PRIVACY

Your information is confidential and private and will never be shared outside of the company.
What happens after I hit the submit button?

After hitting the submit button, you will be redirected to the home page.  This means that your registration was submitted correctly.

If you have any concerns, feel free to contact us at Z@zayconfoods.com
Content copyright . Zaycon Foods. All rights reserved.