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 Request Geocup Samples
 Please fill out the form below to receive your Geocup samples. We value your feedback, so please contact us with comments or questions about your Geocup samples. Thank you!
 First Name:  *
 Last Name:  *
 Title:  *
 Company/Organization:  *
 Street:  *
 City:  *
 State:  *
 Zip:  *
 Email:  *
 * Required information. All personal information is confidential.
 Which insulated hot cup system do you currently use for take-out?
 Standard paper cup, coated 1-side w/plastic film, interior surface.  
 Special paper cup, coated 2-sides w/plastic film, textured exterior surface.  
 Special paper cup w/triple sidewall wrapper,full height.  
 Standard plastic foam cup, all thicknesses.  
 Slide-on cup sleeve.  
 Domed plastic lid, free-flow opening.  
 Low-profile plastic lid, manual opening.  
 Other cup or lid - please specify:  
 Rate hot cup performance:
 Very poor  
 Several complaints  
 Several compliments  
 Rate hot cup impact on store image:
 Very negative image  
 Subtracts from image  
 Doesn't affect image  
 Adds to image  
 Very positive image  
 Most frequent customer comment(s) regarding hot cups to go:  
 Describe your ideal insulated hot cup system for take-out:  
 How many hot cups do you order per year?
 Describe your business:
 Independent retailer  
 Mini chain store (under 10 stores)  
 Large chain store (over 10 stores)  
 Importer, broker  
 Cooperative, non-profit, association  
 Other or kind - please specify:  
 Thank you for your interest in Geocup!

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