Name:
Title:
Email:
Phone:
Referred by:
Website:
Company/Brands Seeking Representation:
Please Describe Your Value Proposition And/Or Your Key Points Of Differentiation:
Strategic Growth Needs:
How are you Funding Growth?
Please Describe Your Current Internal Sales Organization:
Select Distributor Channel Annual Revenue, National: $0 - $200,000$200,001 - $500,000$500,001 - $1,000,000$1,000,001+
Select Direct Channel Annual Revenue, National: $0 - $200,000$200,001 - $500,000$500,001 - $1,000,000$1,000,001+
Select ACV Natural Channel [ex: Whole Foods Market, Sprouts, Fresh Thyme, NCG, etc]: Pre Revenue0-55-1010-2020-3030-40>40
Select ACV Specialty/Conventional Channel [ex:Kroger, Albertsons/Safeway, Publix, etc]: Pre Revenue0-55-1010-2020-3030-40>40
Select My Agency Network is: NationalRegionalHybridNone
Select Kehe Authorization: NationalRegionalNone
Select UNFI Authorization: NationalRegionalNone
Select Coverage Needed: NationalRegionalChannel-specificCustomer-specific
C.A. FortuneAttn: Business Development651 W Washington Blvd, Suite 1-SChicago, IL 60661