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***AgSafe® Aquatic-Spikes™ FREE SAMPLE for Pond Owners ONLY***

Please provide the following information to receive your FREE products and information. Answering these questions takes Only 5 Minutes of Your Time!

FREE Samples are Available for U.S. Continental addresses only. ALL QUESTIONS MUST BE ANSWERED CORRECTLY TO RECEIVE THE FREE SAMPLES. Your Information is CONFIDENTIAL and will not be shared with other organizations and third parties. Your responses help us to provide new and better products.

It is rather expensive to send Free Samples when the information
we ask for is incorrect - Please Provide Accurate Information.

There is a limited supply of Free Samples available each day.
As of Today, we have 1500 FREE SAMPLES LEFT.

**PLEASE DO NOT REQUEST A FREE SAMPLE
IF YOU'RE NOT INTERESTED IN PURCHASING THIS PRODUCT**


TODAY'S FREE SAMPLE: (Only for Pond Plant Owners)
NEW - AgSafe Aquatic-Spikes® (2 Spike Sample)
2 Spikes Feed One Pond Plant...
Amazing - One Application of 2 Spikes Feeds Entire Year!
Special Polymer-Release Formula Maximizes Blooming
Easy-to-Insert Spike...Ideal for Waterlilies and Lotus
No Need to Get Wet Every Few Weeks Using Tablets
Proven by Professional Pond Plant Growers
Over a Million Aquatic-Spikes® Sold Last Year!

NAME & MAILING ADDRESS:
(EXACTLY as would appear on mailing envelope,
Must be in Proper Format and Correct, or no samples will be sent.
Proper Format - Upper & Lower Case Letters)
First Last Name
Company Name (if any)
Address
City, State (2 Caps) Zipcode
AREA CODE & PHONE (No Solicitations - For Address Corrections):
EMAIL ADDRESS (necessary - must be exact, upper & lower case, etc):
NOTICE: Please Enter Email CORRECTLY - we send an email confirmation regarding your sample request. NO SAMPLE - if email is not correct or undeliverable. All email addresses are kept CONFIDENTIAL and are not shared with outside third parties or Spam mass mailers. Thank you.

TODAY'S FREE SAMPLE CODE. To obtain Today's Free Sample Code, please go to our 'Aquatic-Spikes™' website section (see left-hand menu selection). This gives you an opportunity to thoroughly review the product before you obtain a Free Sample. This code changes daily - Be sure to enter the correct code.
NOTE - Freebie sites, Free Sample Websites, etc. - generally give-out an Old Code, that doesn't work for today - so go to our 'Aquatic-Spikes™' website section (see left-hand menu selection) - Again, No Correct Daily Code means No Free Sample!

TODAY'S FREE SAMPLE CODE: (No Correct Code - No Sample Sent)

To help us develop new products, please answer the following questions
as accurate as possible. Do not leave answers blank.

Name of Manufacturer (not the retail store) for Your Pond Kit & Supplies? (company name)
How Many Pond Plants do you have? (number - important)
How many African Violets do you have? (number of plants)
How many Cacti & Succulents do you have? (number of plants)
How many Orchids do you have? (number of plants)

Have Outdoor Palms (check box if yes)?

Have Aquarium Plants (check box if yes)?

Have Waterlilies? (check box if yes)

Have a Drip System for Garden or Patio Plants? (check box if yes)

Have Koi in Your Pond? (check box if yes)

How Did You Hear About Our Website?
(website name, search engine name, organization's name, etc. Please do not enter 'Friend' or 'Website' - be more specific. Thank you.)
What Pond Plant Food Brands do you Purchase for Your Pond?
(Be specific - AgSafe Aquatic-Tabs®, Aquatic-Spikes™, Tetra LilyGro™, Pondtabbs®, Lilypons Lilytab™, Highland Rim™, Little Giant®, Liquid Foods, Regular Fertilizer, Don't Feed, etc.)
Where do you shop for a Majority of your Pond Plant Food and Water Gardening Supplies?
(Walmart®, Home Depot®, Lowes®, Hardware, Local Nursery, Mailorder Catalog, Online Website, etc.)

Send an Email Update and Free Sample Request to a Friend?
(Enter First Last Name & Email Address)

Thank you for your responses.
Make sure You Have Answered All Questions Correctly.
Only One Free Sample of AgSafe Aquatic-Spikes® is Allowed per Customer.
Please Allow 1-2 weeks for your Free Samples and Information.
If by chance, you placed this Free Sample Request when we're out of the Free Samples for today, you're request will be placed on a waiting list for the next day's allotment of Free Samples.
Thank you for your time. Please select 'Submit' button Once.
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