Thank you for your interest in the LÄRABAR® Sample Request Program. Please fill out the below information about your request. At this point, we are only able to fulfill requests for events in the United States. PLEASE NOTE: We would prefer your application to be submitted 60 days prior to the event day, however, we will do our best to fulfill your request.
Fields with an * are required.
Event Information
Event Name:*
Event Type:* (select all that apply)
Is your event school related or taking place on school property?*
Event Start Date (mm/dd/yyyy):*
Event End Date (mm/dd/yyyy):*
Event Country (USA only):*
Event City:*
State:*
Event website address:
Please tell us a little more about your event:*
What is your affiliation with the event?*
What is your experience with LÄRABAR?
Has LÄRABAR sponsored this event in the past?
If we have sponsored your event in the past, what years?
Are you reaching new/more people this year?
How many people will attend or participate?*
How many spectators will attend?
How do you intend to distribute LÄRABAR samples?*
Are your samples being distributed in a gift bag?*
If so, what else is in the gift bag?*
How will you promote LÄRABAR's support of this event?
Is there any additional information you'd like to tell us?
Would you like to upload any promotional material for your event?
 
Contact Information
We do not accept P.O. Boxes.
First Name:*
Last Name:*
Organization Name:*
Title/Affiliation:*
If you're not part of an organization please type N/A.
Address Line 1:*
Address Line 2:
City:*
State/Province:*
Zip/Postal Code:*

Country:*
Email:*
Phone:*
Shipping Information
We do not accept P.O. Boxes.
Address Type:*

First Name:*
Last Name:*
Organization Name:*
Address Line 1:*
Address Line 2:
City:*
State/Province:*
Zip/Postal Code:*

Country:*
Phone:*
Requested Delivery Date:*
Shipping Instructions:
Please tell us what products and quantity of samples you're interested in. PLEASE NOTE: You are not guaranteed
to receive the flavors or quantities you have requested.