Komoniwana Sample Request Sample Request Business Name * First Name * Last Name * Address * Address Line 2 City * State * StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone * Email Address * Flavors * Select two to three flavors for samples. One sample of each selection will be sent. If you select more than three flavors only your first three flavors will be sent. Flavors Chocolate Milkshake Strawberry Milkshake Madagascar Vanilla Bean Shake Old-Fashioned Chocolate Malt Old-Fashioned Vanilla Malt Lemon Pie Smoothie P-Nutty Butter Smoothie Matcha Green Tea Smoothie Frozen Coffee Bean Frappé Mocha Frappé Butterscotch Toffee Caramel Coffee Frappé Lemon Pucker Granita Tart Strawberry Granita Limonada Sour Granita / Margarita Mix Comments/Questions * reCAPTCHA Submit
