If you are interested in this promotion please contact us at info@active-rewards.com and we will get you enrolled!

Active Network | Rewards Presents Sharkies® Organic Fruit Chews Samples for your Youth

We've would like to offer your facility FREE Samples of Sharkies®  Organic Fruit Chews! Fill out the form below to receive emails with FREE product samples from your favorite brands!  Please contact Active Netwrok | Rewards with any questions: 1-800-895-2582 or info@active-rewards.com

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Contact Information Contact First Name Contact Last Name Title Direct Phone Number  Enter a valid phone number. Example: 123-456-7890 Primary Email Address  Enter a valid email address. Example: name@company.com Facility Information Facility Name Branch Name Facility Address City State Select OneALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Is your shipping address different then the address listed above? If yes, please provide the address below: Shipping Address (if different from facility address) City State Select OneALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Facility Information Facility Phone (ex. 8008952585)  Enter a valid phone number. Example: 123-456-7890 Fax Number  Enter a valid phone number. Example: 123-456-7890 Main Facility Email  Enter a valid email address. Example: name@company.com Facility Website On average, how many members does your facility have? What percentage of your members are female? Please check all the YOUTH activities that your facility offers Baseball Basketball Field Hockey Football Gymnastics Cheerleading Camps Lacrosse Skateboard Soccer Softball Swimming Snowboarding Tennis T-Ball Other None If Other, please explain How many Sharkies samples would you like for your YOUTH activities? Agreement I agree and understand that the sale, barter, or any type of misuse of provided samples and promotional materials will result in immediate termination from the program and any future Active Network Rewards opportunities. Yes No Additional questions or comments regarding Sharkies or Active Network Rewards, please enter them here: