Nova Scotia Tasting Evaluation Form

Nova Scotia Tasting Evaluation

Please fill out the evaluation form with the information gathered from your consumer tasting, upload your photos, and submit!
Name*

First NameLast Name
Email*
example@example.com
Date of Tasting*

MonthDayYear
Date
Type of Retail Tasting

NSLC Corporate StorePrivate StoreEvent/Activation
Location:
Additional Details:
i.e: Tradeshow, Golf Activation, On Premise Event, etc.
AMCA Territory Manager

Hours Worked*

	Start Time	End Time	Total Hours
Hours:

Do you have expenses associated with this tasting to be reimbursed? i.e.: Ice, cocktail mix, display items, etc.*

Yes - Enter the Amount and Upload Receipts BelowNo - Click 'Next'
Enter the total dollar amount shown on the receipt(s), including tax:
Upload a clear copy of the receipt(s):

*Receipts are required for reimbursement. Without a receipt, reimbursement will not be processed.
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Principal Summary
Principal Partner: The company that supplies/manufactures the product sampled.

*Click or hover to view the principal reference guide*
How many principals were sampled at your booth in total?*
Example: You sampled Sleeman Clear 12pk, Sapporo 4pk, and Red Bank Whisky -- You would select: 2 for the total, and below select 'Sleeman and Red Bank' for principals.
Select ALL principals that were sampled at your booth.

ProximoSleemanRed BankSignal HillTrajectoryAlter CanadaCrystal Head

Sales Summery*

How many consumers sampled?
Consumer Feedback

Please fill in the consumer comments below
Comment 1:
Comment 2:
Comment 3:
Comment 4:
Comment 5:
Upload Tasting Photos

*Please ensure the photos you attach are for the correct principal before submitting*
File Upload

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Sales Summery

How many consumers sampled?
Consumer Feedback

Please fill in the consumer comments below
Comment 1:
Comment 2:
Comment 3:
Comment 4:
Comment 5:
Upload Tasting Photos

*Please ensure the photos you attach are for the correct principal before submitting*
File Upload

Cancelof

Direct Deposit Enrollment
** NEW REPS ONLY **
If you are already enrolled for direct deposit, please disregard and submit.
Upload void cheque and signed direct deposit authorization form below:

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Should be Empty:

Nova Scotia Tasting Evaluation