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Please fill out the following form if you are interested in being represented by
Presence Marketing/Dynamic Presence.

Please fill in all fields marked with a *
Vendor Name*
Referred By
Item(s) Description*
Contact Information:
Contact Name:* 
Title:*
Phone:*
Email Address:*
Website:
General Questions:

Please list your Region(s) of Interest:

Annual Sales:
Midwest
Southwest
Rocky Mountains
East
Pacific Northwest
California
Do You Have a Current Broker in Region(S) of Interest? Yes
No
If Yes, Who Is/Are Your Current Broker(S) in This Region?
Do You Have a Current Broker(S) Elsewhere Nationally? Yes
No
If Yes, Who Is/Are Your Current Broker(S) Nationally?
Retail Distribution - Approved and Placed (Example: Whole Foods / Central Markets)
Distributors - Approved and Carrying
(Example: UNFI / Tree of Life)
Future New Items:

It is required to submit the following for your line to be reviewed:

  • Samples
  • Ingredient Listing
  • Price List
  • SRP's
  • Promotional/Marketing Plan (Demos/Ads/Hip Pocket Deals)
  • SPINS
Please Mail To:
Presence Marketing/Dynamic Presence
Attn: Need Representation
12 Executive Court Suite 1
South Barrington, IL 60010  		  Additional Comments: