In order to receive your selling materials,
the following information needs to be completed.

If you are planning to have a sale, please fill out the information below, then submit this form to us for processing.
Shortly after we receive your transmission a Fragrant Moments Representative will contact you in regards to your order, catalog request or simply answer questions that you may have about this program.

Please Check Here and fill in the information below
to receive a sample catalog by mail immediately.

Today's Date

Name of Your Organization

Person in Charge of Fundraiser

Telephone With Area Code

Street Address

City


State Zip



Person that will be responsible
for payment


Tax Exempt Number

Number of persons in your group

Date of your fundraiser

Street Address for Delivery
(Physical Street Address Required
UPS cannot deliver to a P.O. Box)

 

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FRAGRANT MOMENTS
P.O. Box 390726
Deltona, FL 32739
1-800-822-4120

 

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