Donation/Samples/Event Request

Please read the directions carefully, so that we can be sure to receive your request and support your event. If you are a dietitian, doctor or other health care provider please use our Sample Request form for Dietitians. We thank you for your interest in Pamela’s Products.

Although we are a community-minded company, we are not able to participate in every event. If you are interested in receiving samples for a Celiac, Autism or related event, please fill out the form below. Due to the volume of requests, our donation program is limited to group events. Please notify us at least 4-5 weeks prior to your event to allow time for processing, packing and shipping in a timely manner. We do not send samples to individuals. If you have other requests, please visit our Contact page.

* Required fields

First Name*:

Last Name*:


Phone Number with Area Code*


501c3 Number:

What is the name of your event?*

What is the date of your event?*

When do you need the samples to arrive?

Describe the event, including who the attendees are:*

How many people do you expect at the event?*

How will the product be used and distributed at your event?*

Shipping address for samples:
Business or residence?*:

Company Name:

Contact Name of person to receive shipment*:




Zip Code*:

Contact Phone Number with Area Code*: