Submit a request – Redwood Hill Farm & Creamery, Inc.

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First Name

Last Name

Street Address(optional)

City(optional)

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Zip Code

Contact Reason

Redwood Hill Farm Product Type

Redwood Hill Farm Yogurt Type(optional)

Redwood Hill Farm Kefir Type

Size

Flavor(optional)

Flavor

Product Quality Description

Textural Issue(optional)

Irregular Taste(optional)

Was the product kept refrigerated?(optional)

Illness(optional)

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How soon after consuming did symptoms appear?(optional)

What was the duration of symptoms?(optional)

Was medical care sought?(optional)

Any additional information you would like to provide?(optional)

Expiration Date

Time Stamp

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Lot Code #(optional)

Example: 10000002563

Quantity

Where was this product purchased?(optional)

Store, Address, City, State

Date Purchased(optional)

Farm Question Type

General Question Type

Zip Code for Product Availability

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Subject

Additional Information

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