New Client Information Form

Client Registration

TLC Sampling LLC
SECTION 1: COMPANY INFORMATION
Company*

Company NameWebsite
Mailing Address (if different than billing)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECTION 2: CONTACT INFORMATION
Contact Name*
Primary Contact
Title/Position*
Contact Work Number*
Work
Contact Cell Number
Cell
Contact Email*
Fax
Alternate Contact Name
Name
Alternate Contact Title/Position
Alternate Contact
Alternate Contact Work Number
Alternate Contact (Work)
Alternate Contact Cell Number
Alternat Contact (Cell)
Alternate Contact Email
Alternate Contact Email
For multiple recipients, please use this one email address
Email
Please name your distributor and the person who is your primary point of contact there:*
SECTION 3: BILLING INFORMATION
Billing Contact*
Name
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Phone Number*
Billing Phone
Billing Email*
For invoice delivery
RATES & PAYMENT ARRANGEMENTS
- New suppliers are subject to a one-time registration fee of $300. This will be added to your first invoice.
- Invoices are sent out weekly, following any scheduled tastings.
- Regular Tastings are billed at a rate of $225 each and will include the cost of sample reimbursement.
- Special Events (festivals, on-premise, etc) are priced individually, based on your needs. An estimate for your approval will be provided prior to any such events.
- We offer multiple payment options for your convenience.
  - ACH (on receipt, net 15, net 30), Credit Card, or Bill.com
Please choose your preferred payment terms and sign below:*

ACH on receiptACH net 15ACH net 30Credit CardBill.com
Signature*

Clear
SECTION 4: BRAND PREFERENCES
Please list your SKU Prioritization*
In order of preference, which SKUs are to be sampled? TLC Recommends sampling no more than 4 skus per demo
Retailers/Accounts

Please provide a list of accounts you want demos scheduled at, or a list of accounts your product has been sold into in the last 6 months if you would like assistance choosing accounts for demos.
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Which markets will we be sampling your products in?*

NWA (Fayetteville, Bentonville, Rogers, Springdale, Bella Vista)Fort SmithCentral Arkansas (Little Rock, NLR, Sherwood, Maumelle, Cabot, Conway)Tulsa, OKOther
Is there a purchase requirement for accounts to hold a tasting? If yes, how many cases must the account purchase in order to have a tasting?*
Approximately how many tastings would you like us to book per month?*
Minimum sales expectations? On average, how many units do you expect to be sold at each demo? *
Exceptional sales? What would you consider AMAZING sales for one demo?*
What do you consider '1 unit'? Cases, 6packs, single bottles, etc*
SECTION 5: PRODUCT INFO & MARKETING MATERIALS
We use the information below to represent your brand.

Please be as detailed as possible. This information will be used to create training materials and quizzes for our ambassadors so they can best represent you.
Product Info*

Please upload your product's sales sheets, tech sheets, or any info you can provide to educate our Ambassadors on your product
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Are any of these products Vegan?*
Company Logo

Please upload your company logo, which may be used for digital advertisement or signage at events.
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Marketing Images

Please upload any images you would like us to use for marketing purposes.
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Should be Empty:

Client Registration

SECTION 1: COMPANY INFORMATION

SECTION 2: CONTACT INFORMATION

SECTION 3: BILLING INFORMATION

SECTION 4: BRAND PREFERENCES

SECTION 5: PRODUCT INFO & MARKETING MATERIALS