Polished Apple's Little
      Preliminary interest of service request

          For local and national service
        Inside continential USA

                                                                    
 Name of School_______________________________________________________

Address __________________________________________________________

              __________________________________________________________

Contact Person__________________________________ Position_________________

Telephone __________________________ E-mail_____________________________

Name of person who would need to authorize this service _________________________________ 

                                                                          Position _________________________________
Each school has a different procedure  for this type of service. Please help advise as to the best method.
You will make a contact with the proper person of authority__
Please contact the one of the above people__
My name is____________________________________ If other than contact person.
Is this school public or private?_____________What are your office hours?_____________

Which is your preferred method of contact?

__Telephone  The best time to call is____________________________

__E-Mail  _______________________________________( e-mail address)

Which of the following service wouldbe your preferred  choice?

__ Ongoing Season display which includes a weekly restocking for a 6 week period each Fall, Winter & Spring      
__ Monthly or  Seasonal display with no restocking and a 1 week turnaround 

How would you prefer the Rewards Points ( which can be used to purchase merchandise) to be awarded

___ Personal Rewards (give to the person making the purchase)           
___ Fund raiser Rewards___ Name fund raiser_______________________________________

Does your school use items with a religious theme?

Are there restrictions in your school on celebrations of any of the holidays?

Thank you for your interest in our Little Apple Service.

You can send this form by:

E-mail polishedapplemail@yahoo.com

Fax 541-306-3007

Mail to:
Polished Apple
2114 Sandra Ave
Centralia Wa 98531

Questions??? E-mail or call Sue 360-870-6569