Name:

Address:

City:

State:

-Select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   Zip:

Phone:

Email Address:

How many people are in your household?

-Select- 1-2 3-4 5+

What is your annual household income?

-Select- Under $25,000 $25,000-$50,000 $50,000-$100,000 Over $100,000

Have you ever tasted sun dried tomatoes?

-Select- Yes No

If so, where did you first taste them?

-Select- In a Restaurant Purchased at the Grocery At a Social Gathering

Have you ever purchased sun dried tomatoes for use at home?

-Select- Yes No

Have you tasted Valley Sun brand sun dried tomatoes?

-Select- Yes No

Where did you purchase them?

Do you have any comments or questions for us?