New Years Resolutions – Samples Request Page

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Are you a Promotional Products Distributor?*

Name*

First Last

Your Name*

First Last

Your Email*

Company*

ASI/PPAI*

Email*

Phone*

State/Province

Do you want to tell us more about your project?

What will these products be used for?

What Industry is this for?

What type of business is this for?

Have you worked with us before?

What's the quantity of the project?

Please enter a number greater than or equal to 50.

Do you have an In-Hands Date?

Are you interested in one of the following Siligrams® products: Ice Cube Tray, Cylinder Ice Tray, Whiskey Ball Mold or Coasters?*

Which Products?*

Ice Cube Tray

Cylinder Ice Tray

Whisky Ball Mold

Coasters

What Pop! Promos product are you interested in?*

Is there another Pop! Promos product that you are interested in?*

What quantity are you interested in?*

Do you currently work with a Promotional Products Distributor?*

Distributor's Name

First Last

Distributor's Name

First Last

Distributor's Email Address*

We'll reach out to them with all your information to help get things started with your request!

Distributor's Email Address*

We'll reach out to them with all your information to help get things started with your request!

Where are you located?*

City State / Province / Region

We'll use this information to connect you with a helpful Distributor in your area!

Where are you located?*

City State / Province / Region

We'll use this information to connect you with a helpful Distributor in your area!

Phone

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Are you a Promotional Products Distributor?*

Name*

First Last

Your Name*

First Last

Your Email*

Company*

ASI/PPAI*

Email*

Phone*

State/Province

What will these products be used for?

What Industry is this for?

What type of business is this for?

Have you worked with us before?

What's the quantity of the project?

Please enter a number greater than or equal to 50.

Do you have an In-Hands Date?

Tell Us About Your Samples

Ship To Name*

USP/FEDEX*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipper Number*

Ship Blind to Client?*

Select a Product:*

Distributor Information

Please note that we only sell our listed products to Promotional Products Distributors. Please fill out the following information and we can either connect with your existing Distributor salesperson or connect you to one for easy ordering. Thank you!

Do you currently work with a Promotional Products Distributor?*

Distributor's Name

First Last

Distributor's Email Address*

We'll reach out to them with all your information to help get things started with your request!

Where are you located?*

City State / Province / Region

We'll use this information to connect you with a helpful Distributor in your area!

Which Siligrams products are you interested in?*

Ice Cube Tray

Cylinder Ice Tray

Whisky Ball Mold

Coasters

Phone

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Are you a Promotional Products Distributor?*

Name*

First Last

Your Name*

First Last

Your Email*

Company*

ASI/PPAI*

Email*

Phone*

State/Province

What will these products be used for?

What Industry is this for?

What type of business is this for?

Have you worked with us before?

What's the quantity of the project?

Please enter a number greater than or equal to 50.

Do you have an In-Hands Date?

Upload your logo(s), Brand Standards or Creative Inspiration

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Are you interested in one of the following Siligrams® products: Ice Cube Tray, Cylinder Ice Tray, Whiskey Ball Mold or Coasters?*

Which Products?*

Ice Cube Tray

Cylinder Ice Tray

Whisky Ball Mold

Coasters

Is there another Pop! Promos product that you are interested in?*

What quantity are you interested in?*

Do you currently work with a Promotional Products Distributor?*

Distributor's Name

First Last

Distributor's Name

First Last

Distributor's Email Address*

We'll reach out to them with all your information to help get things started with your request!

Distributor's Email Address*

We'll reach out to them with all your information to help get things started with your request!

Where are you located?*

City State / Province / Region

We'll use this information to connect you with a helpful Distributor in your area!

Where are you located?*

City State / Province / Region

We'll use this information to connect you with a helpful Distributor in your area!

Name

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Need help getting started? Click Here to Download the Design Inspiration Flyer and select a design that you think might work for your client!

"*" indicates required fields

Name*

Email*

Quantity Needed*

ASI / PPAI #*

In-Hands Date*

Upload Your Logo(s) or Art Reference Files*

Drop files here or

Max. file size: 50 MB, Max. files: 2.

Design Inspiration Reference

Need some inspiration? Download the PDF from the link above and reference what you like here!

Tell Us About Your Project

Phone

This field is for validation purposes and should be left unchanged.

Need help getting started? Click Here to Download the Design Inspiration Flyer and select a design that you think might work for your client!

"*" indicates required fields

Name*

Email*

Quantity Needed*

ASI / PPAI #*

In-Hands Date*

Upload Your Logo(s) or Art Reference Files*

Drop files here or

Max. file size: 50 MB, Max. files: 2.

Design Inspiration Reference

Need some inspiration? Download the PDF from the link above and reference what you like here!

Tell Us About Your Project

Name

This field is for validation purposes and should be left unchanged.

Request Virtuals

"*" indicates required fields

Name*

First Last

Company*

ASI/PPAI*

Email*

Phone*

State/Province

What will these products be used for?

What Industry is this for?

What type of business is this for?

Have you worked with us before?

What's the quantity of the project?

Do you have an In-Hands Date?

What products would you like virtuals for?*

What products would you like virtuals for?

Upload your logo(s), Brand Standards or Creative Inspiration

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Phone

This field is for validation purposes and should be left unchanged.

Request Samples

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

What will these products be used for?

What Industry is this for?

What type of business is this for?

Have you worked with us before?

What's the quantity of the project?

Do you have an In-Hands date?

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Shipper #*

Ship blind to client?*

Yes

No

Choose a Sample*

Choose a Sample

Phone

This field is for validation purposes and should be left unchanged.

Contact a Rep

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone

State / Country

State / Province / Region Country

What product are you interested in?

What will these products be used for?

What Industry is this for?

What type of business is this for?

Have you worked with us before?

Do you have a quantity for your project?

Do you have an In-Hands date?

Your Message:*

Email

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

What will these products be used for?

What Industry is this for?

What type of business is this for?

Have you worked with us before?

What's the quantity of the project?

Do you have an In-Hands date?

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Shipper #*

Ship blind to client?*

Yes

No

Choose a Sample*

Name

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Which product are you interested in?*

Which product are you interested in?

Tell us about your virtuals!*

The more descriptive, the better!

Upload your logo(s)*

Drop files here or

Max. file size: 50 MB, Max. files: 2.

Comments

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Name*

First Last

Email*

Billing State*

Account*

ASI/PPAI #*

Estimated Quantity*

Product(s)*

Anything else you'd like us to know?

Samples and Virtual Request - General

"*" indicates required fields

Name*

First Last

Company*

ASI/PPAI*

Email*

Phone*

State/Province*

Are you interested in requesting some virtuals?*

Are you interested in requesting some samples?*

Are you interested in meeting virtually about some potential opportunities?*

Comments

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Ship blind to client?*

Yes

No

Anything else you would like us to know?

Comments

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Name*

First Last

Company*

ASI/PPAI*

Email*

Phone*

State/Province

Upload a logo or two

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Any Specifics?

Email

This field is for validation purposes and should be left unchanged.

Travel Set - Virtual Request

Name(Required)

First Last

Company(Required)

ASI/PPAI(Required)

Email(Required)

Phone(Required)

State/Province

Select the product(s) you would like virtuals for:

Girl's Weekend (LVL Cosmetics Bag, Sleep Mask, Small Cinch Pouch)

The Executive Set (LVL Passport Case, LVL Key Ring, LVL Dopp Kit)

The Day Tripper (Retro Round Sunglasses, Knotted Hair Tie Set, Pop! Tote)

Upload a logo or two

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Any Specifics?

Comments

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Bottle Opener Sets - Request Samples

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Select the product(s) you would like samples for:

LVL Bar Key

LVL Bottle Opener Key Chain

Pennant

Fuzzy Socks

Polar Towel

Pocket Picnic Blanket

Ship blind to client?*

Yes

No

Anything else you would like us to know?

Phone

This field is for validation purposes and should be left unchanged.

Bottle Opener Sets - Virtual Request

Name(Required)

First Last

Company(Required)

ASI/PPAI(Required)

Email(Required)

Phone(Required)

State/Province

Select the product(s) you would like virtuals for:

Night In (Fuzzy Socks + LVL Bar Key)

Beer Run (Polar Towel + LVL Bottle Opener Key Chain)

Team Spirit (Medium Pennant + LVL Bar Key))

Summer Suds (Pocket Picnic Blanket + LVL Bottle Opener Key Chain)

Upload a logo or two

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Any Specifics?

Comments

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Large Order Request

"*" indicates required fields

Name*

First Last

Company*

ASI/PPAI*

Email*

Phone*

State*

Which Product(s) are you interested in?*

Estimated Quantity*

Estimated In-Hands Date

Any details we should be aware of?

Comments

This field is for validation purposes and should be left unchanged.

LVL Bottle Openers - Virtual Request

"*" indicates required fields

Name*

First Last

Company*

ASI/PPAI*

Email*

Phone*

State/Province

Which product(s) would you like a virtual of?

LVL Bar Key

LVL Bottle Opener Key Chain

Upload a logo or two

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Any Specifics?

Name

This field is for validation purposes and should be left unchanged.

LVL Bottle Openers - Sample Request

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Which Products would you like a sample of?

LVL Bar Key

LVL Bottle Opener Key Chain

Ship blind to client?*

Yes

No

Anything else you would like us to know?

Email

This field is for validation purposes and should be left unchanged.

Sunglasses Campaign Download

"*" indicates required fields

Name*

First Last

Email*

ASI / PPAI #*

Company*

Phone

This field is for validation purposes and should be left unchanged.

Sunglasses - Sample Request

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Select the product(s) you would like samples for:*

Malibu Sunglasses

Clubman Sunglasses

Retro Round Sunglasses

Brooklyn Sunglasses

Aviator Sunglasses

Heart Sunglasses

Ship blind to client?*

Yes

No

Anything else you would like us to know?

Phone

This field is for validation purposes and should be left unchanged.

Sunglasses - Request Virtuals

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Select the product(s) you would like virtuals for:

Malibu Sunglasses

Club Sunglasses

Retro Round Sunglasses

Brooklyn Sunglasses

Aviator Sunglasses

Milan Sunglasses

Sport Sunglasses

Upload your logo(s)*

Drop files here or

Accepted file types: jpg, ai, pdf, eps, png, Max. file size: 50 MB, Max. files: 2.

Tell us about your virtuals!*

The more descriptive, the better!

Phone

This field is for validation purposes and should be left unchanged.

Cozy Sets - Virtual Request

Name(Required)

First Last

Company(Required)

ASI/PPAI(Required)

Email(Required)

Phone(Required)

State/Province

Select the product(s) you would like virtuals for:

Sleep Tight (Fuzzy Socks + Sleep Mask)

Movie Marathon (Fuzzy Socks + Fleece Lap Blanket)

Working From Home (Fuzzy Socks + Velvet Scrunchie)

Girl's Night (Fuzzy Socks + LVL Cosmetics Bag)

Upload a logo or two

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Any Specifics?

Email

This field is for validation purposes and should be left unchanged.

Fuzzy Socks - Sample Request

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Ship blind to client?*

Yes

No

Anything else you would like us to know?

Phone

This field is for validation purposes and should be left unchanged.

Fuzzy Socks - Virtual Request

"*" indicates required fields

Name*

First Last

Company*

ASI/PPAI*

Email*

Phone*

State/Province

Upload a logo or two

Drop files here or

Max. file size: 50 MB.

Tell us about your virtual designs:

Any Specifics?

Comments

This field is for validation purposes and should be left unchanged.

Sunglasses - Request Virtuals

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Select the product(s) you would like virtuals for:

Malibu Sunglasses

Club Sunglasses

Retro Round Sunglasses

Brooklyn Sunglasses

Aviator Sunglasses

Milan Sunglasses

Sport Sunglasses

Upload your logo(s)*

Drop files here or

Accepted file types: jpg, ai, pdf, eps, png, Max. file size: 50 MB, Max. files: 2.

Tell us about your virtuals!*

The more descriptive, the better!

Email

This field is for validation purposes and should be left unchanged.

[contact-form-7 id=”32547″ title=”Request Virtuals_Nurses Week”]

Mailer Kits - Request a Quote

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Name*

First Last

Email*

ASI / PPAI #*

Quantity*

Please select the kit that you would like a quote for:*

Any specifics?

Phone

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Mailer Kits - Virtual Request

"*" indicates required fields

Name*

First Last

Email*

ASI / PPAI #*

Quantity*

Please select the kit that you would like designs for:*

Upload a Logo

Max. file size: 50 MB.

Any specifics?

Email

This field is for validation purposes and should be left unchanged.

[contact-form-7 id=”32309″ title=”Request Virtuals_Glam Kit”]

[contact-form-7 id=”32322″ title=”Request Virtuals_Self Care Kit”]

[contact-form-7 id=”32325″ title=”Request Virtuals_Cozy at Home Kit”]

[contact-form-7 id=”32282″ title=”Request Virtuals_HALO 2021″]

[contact-form-7 id=”31769″ title=”Request Designs – Mailer Kit – Malibus”]

[contact-form-7 id=”32289″ title=”Request Samples_HALO 2021″]

[contact-form-7 id=”31767″ title=”Request Designs – Mailer Kit – Scrunchies”]

Mailer Kits - Virtual Request

"*" indicates required fields

Name*

First Last

Email*

ASI / PPAI #*

Quantity*

Please select the kit that you would like designs for:*

Upload a Logo

Max. file size: 50 MB.

Any specifics?

Comments

This field is for validation purposes and should be left unchanged.

[contact-form-7 id=”31763″ title=”Request Designs – Mailer Kit – Dog Bandana”]

[contact-form-7 id=”31759″ title=”Request Designs – Mailer Kit – Pop Tote”]

[contact-form-7 id=”31757″ title=”Request Designs – Mailer Kit – Winter Gift”]

[contact-form-7 id=”30678″ title=”Request Designs – Mailer Kit – Face Mask”]

Mailer Kits - Virtual Request

"*" indicates required fields

Name*

First Last

Email*

ASI / PPAI #*

Quantity*

Please select the kit that you would like designs for:*

Upload a Logo

Max. file size: 50 MB.

Any specifics?

Name

This field is for validation purposes and should be left unchanged.

[contact-form-7 id=”30729″ title=”Request Designs – Mailer Kit – Blue Light Glasses”]

[contact-form-7 id=”30719″ title=”Request Designs – Mailer Kit – Face Mask and Pennant”]

[contact-form-7 id=”30702″ title=”Request Designs – Mailer Kit – Saver Socks”]

[contact-form-7 id=”30678″ title=”Request Designs – Mailer Kit – Face Mask”]

Contact a Rep

[contact-form-7 id=”310″ title=”Contact Us”]

Request a Sample

"*" indicates required fields

First Name*

Last Name*

Company*

ASI / PPAI #*

Email*

Phone*

State / Country*

State / Province / Region Country

Tell Us About Your Samples

Ship To Name*

UPS/FEDEX*

Address Line 1*

Address Line 2

City*

State/Province*

Zip*

Ship blind to client?*

Yes

No

Choose a Sample*

Choose a Sample

Phone

This field is for validation purposes and should be left unchanged.

Request Your Custom Virtuals

[contact-form-7 id=”19081″ title=”Request Designs”]

New Years Resolutions Samples Request Form

Tell Us About Your Samples

New Years Resolutions
Samples Request Form