FLEX-FLYERS™

Free evaluation sample form US residents Only

To receive your free Flex-Flyers evaluation sample print and fill out this
form and include it with your S&H payment .

Send checks or money orders To:

Lorenzo Gonzales
940 NW Island Terrace Make checks payable to Lorenzo Gonzales
unit A13 1 unit $2.49 - $1.49 each additional units.
Beaverton, Or. 97006 Please send me _______ units for $________ S&H

* not required

Name on check_________________________
Address__________________________________________
City_________________ State__________________ Zip___________
Ph # _____-_______-_______
* Your e-mail ________________________________
* Company Name _____________________________
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Put an x where applicable

I am interested in the Flex-Flyers for the following reason(s):
___ Future sales rep for Lorenzo's Toys LLC :not yet established
___ Promotional vendor giveaways (custom printed orders)
___ To help with research and development
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All of the following must have an x to receive your free evaluation sample of
the Flex-Flyers toy. Signature is also required.

___ I am 18 years or older.

___ I understand that I am receiving a sample of a product not yet for sale and I
am paying only for the shipping and handling.
___ I agree to allow Lorenzo Gonzales to contact me about Flex-Flyers for
evaluation, marketing, Research and development purposes.
___ By signing this form I agree to never bring into litigation any claims
against Lorenzo Gonzales for injuries occurred during my evaluation of
Flex-Flyers.

Signature:_____________________________________________________

Note: These are test samples and are not packaged for retail. If your Flex-Flyer is
damaged during shipping please let me know and I will ship you a new one.
Just e-mail me and include your purchase information. flexflyers@gmail.com