variables._SALES_REP = ""; variables._BROKERAGE = ""; variables._BRK_ADDRESS = ""; variables._BRK_CITY = ""; variables._BRK_STATE = ""; variables._BRK_ZIP = ""; variables._BRK_PHONE = ""; variables._BRK_EMAIL = ""; variables._KPFGRGNMGR = ""; variables._OPR_CUTTINGDATE = "01/01/13"; variables._SALES_REP = "#variables.usrFirstName# #variables.usrLastName#"; variables._BROKERAGE = variables.usrCompany; variables._BRK_ADDRESS = variables.usrStreetAddress; variables._BRK_CITY = variables.usrCity; variables._BRK_STATE = variables.usrState; variables._BRK_ZIP = variables.usrZip; variables._BRK_PHONE = variables.usrPhone; variables._BRK_EMAIL = variables.usrEmail; variables._KPFGRGNMGR = variables.usrRgnMgr;

Broker Information *Required

Sales Rep* Brokerage*
Address*
City* State*  Zip Code* 
Phone* Email*
KPFG Regional Manager*

Operator Information *Required

Operator* No. of Units*
Main Address*
City* State*  Zip Code* 
Contact Person: First Name*  Last Name*  Title*
Phone* Email*
Distributor*    
Product Showed
(check all that apply)
Interested
(check all that apply)
Pepper Jack Cheese Sauce 322T-T0701
Classic Alfredo Sauce 090T-T0700
Sweet Thai Chili Sauce V442-F6190
Beef Gravy 325T-T0701
Cilantro Lime Rice Seasoning S162-F6190
Salsa Seasoning V425-H5190
Ranch Dressing V400-JA190
Ranch Dressing V402-JA190
Simply Smoothies Base Mix Canisters D620-B5010
Simply Smoothies Base Mix PCs D620-Y6010

Additional Questions

What follow up is necessary?* (send samples, test, cutting against similar products, secondary presentation.
Not interested, why? Explain. (mixing, price, quality, distribution, labor, equipment)