contact us

questions? comments?
we’d love to hear from you

Please complete the form below. Mandatory fields marked*

What type of feedback do you want to share?*
Please select the specific reason for your feedback:*
Please select the specific reason for your feedback:*
Injury Details
Please describe the injury you experienced (please share as much information as possible).*
When did the injury occur?*
Did you seek out medical treatment?*
- Yes
- No
What treatment did you receive?*
What is the name of the Doctor you saw and the address of the hospital or clinic you visited?*
Do you still have a sample of the product?*
- Yes
- No
We would like to retrieve the object, and will arrange for Purolator to come pick up the object. Best date and time of day for pick up:*
You may also send us an image of the foreign object via the attachment tool available at the end of this online form.
Pick-up Location Address (if not the same as home address):*
Illness/Allergy Detail
Please describe the reaction or symptoms you experienced.*
What food allergies do you have?
When did the reaction/illness occur?*
Approximately how long did your symptoms last?*
What other food was consumed within 2 hours of eating the product?
Did you seek out medical treatment?*
- Yes
- No
What treatment did you receive?*
What is the name of the Doctor you saw and the address of the hospital or clinic you visited?*
Do you still have a sample of the product?*
- Yes
- No
We would like to retrieve the object, and will arrange for Purolator to come pick up the object. Best date and time of day for pick up:*
You may also send us an image of the foreign object via the attachment tool available at the end of this online form.
Pick-up Location Address (if not the same as home address):*
Foreign Material in Product Detail
Please describe the foreign material.*
Was any injury sustained from the foreign material?*
- Yes
- No
Did you seek out medical treatment?*
- Yes
- No
What treatment did you receive?*
What is the name of the Doctor you saw and the address of the hospital or clinic you visited?*
Do you still have a sample of the product?*
- Yes
- No
We would like to retrieve the object, and will arrange for Purolator to come pick up the object. Best date and time of day for pick up:*
You may also send us an image of the foreign object via the attachment tool available at the end of this online form.
Pick-up Location Address (if not the same as home address):*
Product Information
Brand:*
Product:*
Product:*
Product:*
Product:*
Product:*
Purchase Details
Have you purchased this product before?*
- Yes
- No
Purchase Location
Best Before Date*
Example: 170422KB1 (YYMMDD Plant Shift)
Contact Details
First Name*
Last Name*
Address
City
State
Zip Code
Country
Email
Phone
How May We Contact You?*
Comments
Please enter your comments and feedback below:*
Attachments
Please attach any relevant files
Drop files here or
Accepted file types: jpg, gif, png, pdf.
Maximum 2MB
Mailing List
Would you like to receive updates on promotions, new product launches, recipe ideas, and special offers, or to participate in a survey from Lesley Stowe Fine Foods?*
- Yes
- No
Do you provide permission for Lesley Stowe Fine Foods to use comments in this form for internal or external marketing purposes, including advertising and social media?*
- Yes
- No

questions? comments?we’d love to hear from you

Injury Details

Illness/Allergy Detail

Foreign Material in Product Detail

Product Information

Purchase Details

Contact Details

Comments

Attachments

Mailing List

for all media inquiries contact:

questions? comments?
we’d love to hear from you