*First Name

Last Name

Street Address

*City

*State

*Zip

*Email Address

Product

Date Purchased

Product Code #

Amount Spent

Store Name/Location

Comments/Reason for Dissatisfaction

Dear Valued Customer,

During any season, we at Dulcinea Farms^™ want you to enjoy the "ultimate produce eating experience".

Seldomly, due to certain conditions or natural variations in fruit quality characteristics the fruit may not meet your expectations. If your experience did not meet your satisfaction, we hope that you'll give us another chance to earn your approval.

Please complete the online form to receive a refund and/or a FREE coupon for a Dulcinea® product. Also, please feel free to contact us at Marketing@Dulcinea.com if you have any additional questions.

Sincerely,

Dulcinea Farms^™ Team