

Have a question for your local shop? Do you want to request a fundraising or catering event with a shop near you? Well you’re in luck! You can use this form so submit all of your inquiries and they will get sent directly to the shop. Just the fill out the information below, be sure to include the request type, and our shops will get back to you shortly!

First Name *

Last Name *

Email *

Organization

Event/Occasion

Address 1

Address 2

City

State State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Telephone *

Best Time to Call

Number of People

Request Type * Request Type Rita's on the Road Celebrity Scoop Fundraiser Birthday Party Bulk Orders Catering Cart Services Read with Rita's Fundraising Card Other

Message (Further Instructions or Information)







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