PRODUCT & PREBOOK INFORMATION

CUSTOMER INFORMATION

Customer Name / Account Name

Customer #

Address Line 1

Address Line 2

City

State

Postal Code

QUALIFICATIONS TO RECEIVE *FREE ICE CREAM FREEZER

YES, THIS IS A HIGH VOLUME CUSTOMER

YES, THIS CUSTOMER OFFERS A FOOD SERVICE PROGRAM

YES, THIS CUSTOMER HAS A COFFEE STATION IN STORE

DID YOU COMMUNICATE TO THE CUSTOMER THE COMPLIANCE PART OF THE PROGRAM; MUST BUY A MINIMUM OF $800 IN ICE CREAM FROM NCD DURING THE 2023 FISCAL YEAR

SALES REP / DIVISION

MY SUPERVISOR/DIVISION IS:

SALES CONSULTANTS NAME:

I KNOW THAT THIS IS JUST A SUBMISSION AND THAT MY MANAGER NEEDS TO APPROVE THIS CUSTOMERS' PARTICIPATION IN THE LOANED ICE CREAM FREEZER PROGRAM.