Gin & Juice Request Form

Gin & Juice Request Form
Choose which State
On or Off Premise?*

OnOffSponsored Event
What is the date of the event?*

MonthDayYear
Date
What is the time range of the event?*
Example: 6p-10p
What products(s) will be promoted?*
List all applicable
Please add any relevant training materials for these products:*

Browse Files
PDF, JPEG, ETC Cancelof
Is there a specific uniform?*
Is there a spend?*
Will the BA need to take anything with them from the event?*
How many accounts are in this promotion? (max 6)*
How many different locations will the team visit?
Account No. 1*
Name, Address, Contact Name, Contact No., Run of Show, Spend Amount
Account No. 2
Name, Address, Contact Name, Contact No., Brands, Spend Ammount
Account No. 3
Name, Address, Contact Name, Contact No., Brands, Spend Ammount
Account No. 4
Name, Address, Contact Name, Contact No., Brands, Spend Ammount
Account No. 5
Name, Address, Contact Name, Contact No., Brands, Spend Ammount
Account No. 6
Name, Address, Contact Name, Contact No., Brands, Spend Ammount
What is your name and association?*
What is your phone number?*
What is your email (You will receive a copy of this submission)*
example@example.com
What is the name(s) and title of the person(s) you booked the promotion with?
(Example: Steve Rubell -Club Owner)
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Should be Empty:

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