Product Sample & Brochure Request Form

To receive a Farm Wholesale Greenhouse catalog and corrugated plastic sample, please complete the first section. This information is required to process your request.

We would greatly appreciate any additional information or feedback you could provide in the second section to help us continue to provide high quality products to meet the needs of hobby greenhouse growers, although it's not required to receive your free corrugated plastic sample and greenhouse catalog.

Remember, we won't share this data with anyone else. See our Privacy Policy for complete information.

Catalog and Product Sample Request - section 1
Name
Street Address
City, ST, ZIP
Country
Phone
Email
May a sales person call you in a couple weeks to help you determine which greenhouse or greenhouse product would work best for you?		Yes No
How did you first hear about us?
Other source
May we send you occasional email regarding greenhouse tips and special offers?		Yes No

Customer Information and Survey - section 2 (optional)
Select your *gender*		Male Female
Select your *age group*
Select your *income level*
Farm Wholesale Greenhouses *prices* seem to be ...
Farm Wholesale Greenhouses *features* appear to be ...
How would you compare Farm Wholesale Greenhouses *value* (price for features) to other greenhouses on the market?
What are the *most important factors* in making a buying decision? (choose 3)		Company Reputation Information Provided Overall Quality Advice from a friend Price Sales Help / Customer Service Product Features
When might you purchase a greenhouse?
Any additional comments?


Farm Wholesale Greenhouses 3740 Brooklake Road NE Salem, OR 97303	call toll-free (800) 825-1925 email: greenhouse@farmwholesale.com © 1998 - 2006 Corrugated Plas-Tech Inc.

www.farmwholesale.com