Request Line Review

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Vendor Name
Brand Name
Referred By
Item(s) Description

Contact Information

Contact Name
Title
Phone
Website

Broker Questions

Region(s) of Interest

Please select annual sales in your region(s) of interest

Do you have a current broker in a region(s) of interest
If yes, who is/are your current broker(s) in this region?
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Do you have a current broker elsewhere nationally?
If yes, who is/are your current broker(s) nationally?
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Distribution Questions

Retail Distribution - Approved and PlacedExample: Whole Foods/Central Markets
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Distributors - Approved and CarryingExample: UNFI / Tree of Life
0 /

Product Information

Future New Items
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    • - Price List (SRP's)
    • - Promotional/Marketing Plan (Demos/Ads/Hip Pocket Deals)
Have samples been sent?

We must receive samples in order for your line to be reviewed.

Please ship at least one unit of each SKU along with a full ingredient list (either attached or separate).

The following information is optional and may be emailed to

needrepresentation@pmidpi.com


Additional Comments
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