SUBSCRIPTION BOX
SIGN UP & QUIZ
Let’s get started. First we need some of your basic info.
1. Are you...?
Male
Female
2. First Name?
Last Name?
3. Email Address?
4. Phone Number
5. Billing Address
6. Shipping Address
Same as billing address
7. When is your birthday?
8. What is your t-shirt size?
Small
Medium
Large
Extra Large
XXL
9. What is your favorite color?
Blues
Reds
Yellows
Greens
10. Would you like to sign up to be a beta tester for future products?
Yes
No
11. Check all that applies to you
Age Under 21
Age 21-30
Age 31-49
Age 50+
12. Payment Option
Auto draft Credit Card
Auto draft Checking Account
Card Holder Name
Card Number
Expiration Date
CVV
Bank Name
Routing Number
Account Number
Account Type
Checking
Savings
Name of Account Holder
Authorization
I authorize Sample Oklahoma Company, “sampleok.com” to initiate an electronic charge to my bank account or credit card in the amount of $29.99 plus sales taxes and $3.50 handling fee on a monthly recurring basis for the made in Oklahoma product sample box.
For questions, you may email us at support@sampleok.com
Place Order
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