LVL Desk Mat Launch – 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!

Email

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

Name

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!

Comments

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

Name

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

Phone

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:

Email

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

Name

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:*

Phone

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*

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

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.

Email

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?*

Name

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

LVL Desk Mat Samples Request Form

Tell Us About Your Samples

LVL Desk Mat
Samples Request Form