Date
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In
*
Out
*
Store Id
*
Sampling Method
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Please Select
In-Aisle / In-Store
Parking Lot
Special Event
Table Top Demo
Samples Given
*
When Does Store Restock?
Item Details
NOTE:
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Please ensure your photos are attached for the following before hitting "submit"
Image of Shelf at Arrival
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Image of Shelf at Departure
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Additional Photo #1
Additional Photo #2
Manager Contact
Additional Info
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