On-line Guestbook and Request Form

We cannot respond via e-mail unless you provide us a valid E-mail address

Guest Information

Full Name:
First, Middle, Last

Company or Organization

Mailing Address:
Street 1
Street 2

City                                  State        ZIP:

Phone numbers:
Day Eve Fax

 E-mail address used presently:
E-mail address
IMPORTANT: if you don't specify a valid E-mail address, we cannot respond to any requests via E-mail!

Re-enter your E-mail address again to verify:
E-mail address verification

How did you find our website ?
(Choose Option)

Your Home Web Page Address Ex: www.guest.com
Your Home Web Page Name Ex: Guest page name

Would you like to be placed on our catalog mailing list? Yes     No

Would you like us to call you for a specific reason (enter inquiries below)? Yes     No

Comments, inquiries, questions or any requests that you may have:

Please contact Duck Duds, LLC at 866-DUCK-DUDS (866-382-5383) to speak with us.

Submit your completed on-line form now

If the information that you entered above is correct, press , otherwise the form.

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NOTE: Please allow 1 to 2 days for a response or any requested feedback after submitting your on-line form. We may call or e-mail you but only if you request it. Incomplete forms can not be responded to. We will not share your information to anyone.

If necessary, please click the "BACK" button on your browser after submitting the form to return to our main web site.