UberSamples Signup - 3.0
Page One
1.
Please give us your mailing address so that we can send you free samples of products you are interested in.
We never share your information with third parties.
First Name
Last Name
Street Address
Apt/Suite/Office
City
State / Province
-- Please 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
-- Canadian Provinces --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
-- Other choices --
I live in a US territory or protectorate
I live on a US military base on foreign soil
I don't live in the US or Canada
Other
ZIP / Postal Code
Country
-- Please Select --
United States
Canada
I live in a different country, email me when service is available
Email Address
2.
Please let us know your email preferences. As part of the normal UberSamples program you will receive:
A welcome email
Status updates regarding your samples (including shipping confirmations, delay notices, etc)
A request for feedback after you have received your samples
A maximum of three offers specifically related to the Organic & Natural samples you receive
Infrequent updates to UberSamples' program offerings (no more than 4 times a year)
Acceptance of the above is a requirement for signing up to UberSamples. Your other email preferences are 100% optional. Note:
We never sell, rent, or give your contact information to any third party --
we hate SPAM as much as you do
.
Required to signup: Send me the normal UberSamples emails outlined above
Also send me the monthly UberSamples newsletter
Also send me chances to win FREE full-size versions of organic & natural products
