To Claim Your Free Pack of Gum simply respond to this email with the Following Information. All information is required and will be kept completely confidential.

Name:
Address:
City:
State:
Zip Code:
How Did You Hear About Us?:
What Brand and Flavor of gum do you currently chew?:
How often do you chew gum?:
Do you want us to send you ZAPP or SmokeScreen?:

That's it!

Offer Valid to U.S. Customers only. Limit 1 sample per household. Tell a Friend while it lasts!

Over 80% of our customers are repeat customers. We hope you become part of this group as well after trying a pack on us. Enjoy!

Thanks again for visiting.
Jim Thompson
ElimiTaste Gum
www.elimitaste.com

http://www.elimitaste.com/