Supplier Work With/Blitz Request Form
Thank you for your interest in working in the field with Allied Sales Group. Due to the volume of requests received, we apologize in advance if we are unable to accommodate your request.
Requests must be made a minimum of 45 days before the first day of the month for which you are making the request. When completing this request form, please submit as much detail as possible, so that we can properly evaluate your request and advise you as quickly as possible regarding next steps.
Thank you again; we look forward to working with you.
Type of request:
Please select...
Blitz
Work With
Account focus:
On Premise
Off Premise
Both On and Off Premise
Focus of request (i.e. accounts sold/POD drive, volumetric drive, etc.)
Supplier company name (start typing name, then select from suggested list):
Portfolio Manager name:
Please select...
Andrew Rasizer
Ben Aitchison
Ben Siegel
Beth Mullin
Brian Gibson
Dan Ratti
David Schwartz
Jim Lorenz
Joe Bennett
Kenneth Hammer
Liany Villafane
Liz Burns
Matt Babice
Matt Manns
Matthew Blahut
Nanette Glasser
Pamela Alkins
Patrick Bautista
Ted Tuttle
Todd Prybylski
Other/Don't Know
Your first name:
Your last name:
Your email address:
Will you be participating in the activity for which you are submitting this request?
Yes
No
# of working days requested per supplier representative:
Please select...
1
2
3
4
5
First choice date:
Avoid first and last weeks of the month, Mondays and Fridays, and major holiday weeks. Weekdays only.
Second choice date:
Avoid first and last weeks of the month, Mondays and Fridays, and major holiday weeks. Weekdays only.
Third choice date:
Avoid first and last weeks of the month, Mondays and Fridays, and major holiday weeks. Weekdays only.
Fourth choice date (leave blank if no fourth choice being selected):
Avoid first and last weeks of the month, Mondays and Fridays, and major holiday weeks. Weekdays only.
Fifth choice date (leave blank if no fifth choice being selected):
Avoid first and last weeks of the month, Mondays and Fridays, and major holiday weeks. Weekdays only.
Supplier Representative Information
Supplier representative name:
Supplier representative cell phone number:
Supplier representative email address:
Geographic area focus (choose all that apply):
North Jersey
Central Jersey
South Jersey
Will this individual be traveling to New Jersey from outside of the tri-state area?
Yes
No
Products
Focus brand:
Focus product:
Additional comments or information you'd like to provide: