Samplings & Promotions Form
Supplier
*
Suppliers Approval (Initials)
*
Billback Instructions (100%, 50/50%)
*
Brands
*
On/Off Premise
*
On
Off
Both
Sell Sheet Upload
*
Browse Files
Drag and drop files here
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of
Promotion Start Date
*
-
Month
-
Day
Year
Date
Promotion End Date
*
-
Month
-
Day
Year
Date
Total Prebill Budget
*
Account Receives
*
Duration of Sampling/Promotion, ie: 2 or 3 hours
*
Preferred Agency / Where to Book
*
Please Select
Beyond Promotions
Bombshell
Evolve
Next Level Promotions
Top Flight
Vida Events
Other
No Preference
Cases Display
*
POS Available
*
Contact Name
*
First Name
Last Name
Contact Phone Number for Questions
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email for Questions
*
example@example.com
Approval Signature
*
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