Promotion Order Form

If you are being referred by your friend and contacted by CountryCorn via SMS exclusively, then complete below information and submit your order before 7^th of July 2017 midnight. Please complete your referring friend details below, if its missing we cannot process your order.

The other condition of this Promo offer –

You should not be residing or working at same street address as your referring friend / family. As the Free 4 Cups of Corn Promo is for each Resident / business street address ONCE Only.