Request Line Review

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Vendor Name
Brand Name
Referred By
Item(s) Description

Contact Information

Contact Name

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
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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

Additional Comments
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