GROW Nebraska™ - GROWing one Nebraska business at a time since 1998.

Gift BAsket Catalog

Gift Basket Catalog

*Name

*Email

Company Name

*Address

*City

*State

*ZIP

Phone

(

)

*Are you a consumer interested
in buying GROW Nebraska
products?

	Yes
	No

*If you are you a Retail Store
or Small Business Owner,
are you interested in joining
GROW Nebraska?

	Yes
	No

If you are interested in
joining GROW Nebraska, are
you a new start up or
an existing business?

	Start Up
	Existing Business

If you currently do not own
a business, are you interested
in starting one?

	Yes
	No

If you are a business owner,
what type of business do you own?

If you are a retail store, are
you interested in carrying GROW
Nebraska products?

	Yes
	No

*Would you like to help sponsor
a service or contributing
to our scholarship program that
enables mall businesses to join
GROW Nebraska?

	Yes
	No

*Are you interested in purchasing
GROW Nebraska gift baskets?

	Yes
	No

*What types of products are you
interested in?

*Are you interested in donation
to our organization?

	Yes
	No

*We will send you information about
any interests you specified
above. Would you rather receive
them via email or postal
mail?

	E-mail
	Postal Mail

*How did you hear about
GROW Nebraska?

Of other, please specify:

Comments

P.O. Box 7 • Holbrook, NE 68948 • Phone: 888.GROWNEB • Fax: 308-493-5396
©2008 GROW Nebraska™ • Pictures Provided By: Authors of Light