2017 Total Store Expo "Meet the Market" Associate Supplier Participation Form
 


All fields marked with * are required.


Company Name: *
 
Product Information
Please list the products you wish to introduce at the "Meet The Market" Program with a description of the product (30 words or less) and the date the product was launched or is expected to launch.   First Time Exhibitors may list any three products.   Returning exhibitors may only submit up to three "New Products" (i.e. products launched since August 2016 or to be launched in 2017).  

If you list products in different categories, you may be scheduled with multiple buyers from the same retail chain.  

Product #1 Name: *
Product #1 Launch Date: *
RadDatePicker
Open the calendar popup.
Product #1 Description: *
Do you plan to publicize this Product? *
Product #1 Category: *
Product #1 Product Type: *
Do you have a Store Brand version of this product?
   
Product #2 Name:
Product #2 Launch Date:
RadDatePicker
Open the calendar popup.
Product #2 Description:
Do you plan to publicize this Product?
Product #2 Category
Product #2 Product Type:
Do you have a Store Brand version of this product?
   
Product #3 Name:
Product #3 Launch Date:
RadDatePicker
Open the calendar popup.
Product #3 Description:
Do you plan to publicize this Product?
Product #3 Category:
Product #3 Product Type:
Do you have a Store Brand version of this product?


Main Representative Information
(Individual listed in appointment schedule)
First Name: *
Last Name: *
Phone: *
Phone Extension:
Fax:
Email Address: *
Title: *


Additional Representative Information
(Individual accompanying Main Representative) - OPTIONAL
First Name:
Last Name:
Phone:
Phone Extension:
Fax:
Email Address:
Title:


Retail/Chain Exclusions
If there are chains you would like excluded, because you are already doing business, or you choose not to do business with them, please select them using the dropdown boxes below.  

In order to guarantee you a maximum number of meetings, please do not exclude more than 20 retailers.  

Please note: If you list products in different categories, you may be scheduled with multiple buyers from the same retail chain.  

In which region do you sell or plan to sell your products? (Choose only one) *
 
Do you do business with deep discount retailers?
 
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If you have any special requirements, please let us know below (i.e. Orthodox Company):
Special Requirements:
 
Form Completed By Name: *
Form Completed By EMail: *