T.A.S. – Targeted Audience Sampling Brand Review Application

1
Brand Name* This field is required.
2
Product Name* This field is required.
3
Product Category* This field is required.
Please Select
Please Select
Food & Beverage
Cosmetics
Supplement
Electronics
Household Goods
Apparel
Pet Products
Health & Wellness
Other
4
Product Description* This field is required.
5
Website
6
Manufactured in the U.S.?* This field is required.
Yes
No
7
If No, Country of Manufacture
8
Legally Authorized for Sale in the U.S.?* This field is required.
Yes
No
9
Applicable Permits, Registrations, Certifications, or Labeling Requirements* This field is required.
Yes
No
10
Applicable Agencies* This field is required.
FDA
USDA
TTB
FTC
FCC
EPA
State Registration
Other
Not Applicable
11
Brief Explanation of Any Pending Approvals
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Legal Company Name* This field is required.
13
Brand Owner / Founder Name* This field is required.
First Name
Middle Name
Last Name
14
Title* This field is required.
15
Business Email* This field is required.
example@example.com
16
Phone* This field is required.
Please enter a valid phone number.
17
Full Company Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
18
Company Website
19
Years in Business* This field is required.
Please Select
Please Select
Pre-launch
Under 1 year
1–2 years
3–5 years
6–10 years
10+ years
20
Suggested Retail Price* This field is required.
21
Wholesale Price
22
Product Sizes / Formats and Prices
23
Where is the product sold?
Brand Website
Amazon
Walmart
Target
Sephora
Ulta
Department Stores
Specialty Retail
Grocery
Pharmacy
Hospitality
Spas/Salons
Wholesale
Distributors
International
Not Yet Distributed
Other
24
States Where the Product Is Currently Sold
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Is the product sold internationally?
Yes
No
26
Countries or Regions Where the Product Is Sold Internationally
27
Ideal Customer Description* This field is required.
28
Age Range(s)
29
Gender Focus
All genders
Women
Men
Specific segment
Other
30
Target Household Income
Please Select
Please Select
Under $50k
$50k-$74k
$75k-$99k
$100k-$149k
$150k-$249k
$250k+
Other
31
Consumer Profile
Affluent
Luxury
Wellness
Beauty
Food & Beverage
Professionals/Executives
Homeowners
Travelers
Gift Buyers
Early Adopters
Other
32
Target U.S. States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Nationwide
Other
33
Priority Cities / Metro Areas
34
Open to Tu-Be Recommendations* This field is required.
Yes
No
35
Desired Campaign Size* This field is required.
Please Select
Please Select
Under 500
500
1,000
2,000
2,500
5,000
10,000+
Need Recommendation
36
Are samples available?* This field is required.
Yes
No
Can Be Produced
37
Sample type* This field is required.
Please Select
Please Select
Full Size
Travel Size
Mini
Trial
Single Use
Sachet
Bottle/Can
Food Sample
Discovery Size
Custom
Other
38
Sample size
39
Dimensions
40
Weight
41
Number of samples currently available
42
Number of samples that can be produced
43
Production lead time
44
Special shipping needs
Refrigerated
Frozen
Fragile
Liquid
Glass
Perishable
Other
45
Primary campaign objectives* This field is required.
Product Launch
Brand Awareness
Product Trial
Online Sales
Amazon Sales
Retail Support
Market Entry
Consumer Feedback
Awareness
Sampling
Influencer/UGC
Other
46
Preferred Launch Window* This field is required.
Date
Month
Day
Year
47
Additional Notes
Should be Empty: