Gilster-Mary Lee Product Comment Form

Date

Month

Day

Year

Consumer Information

Title *

Name *

Address *

(Provided address needs to be suitable for USPS & UPS)

City *

State *

Zipcode *

Day Phone *

Evening Phone *

Email *

Best Time to Contact You *

Hour

Minute

Best Way to Contact You *

Product Information

Brand Name *

Amount Purchased *

Product Description *

UPC Number

UPC Example Gilster Mary Lee

Best By Code Date

Best If Used By Products Info Gilster Mary Lee

Purchase price $

Where Purchased

(Please include store name and address)

When Purchased

Comments *