**Please use your descresion when utilizing this form.**
1 (one) package of any Fiber OneTM Toaster Pastries
* Fiber OneTM Blueberry Toaster Pastry - 11oz.
* Fiber OneTM Brown Sugar Cinnamon Toaster Pastry - 11 oz.
* Fiber OneTM Chocolate Toaster Pastry - 11oz.
* Fiber OneTM Strawberry Toaster Pastry - 11 oz.
1. This original official mail-in request form.
2. The original retail store and product identified cash register receipt dated
after 11/16/08 with the Fiber OneTM Toaster Pastry purchase circled.
3. The UPC bar code symbol from your Fiber OneTM Toaster Pastry package.
4. Please tell us why you were unsatisfied with the product: