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NFM Broker/Distributor Directory
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1
. Please tell us about your company.
Please tell us about your company.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
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2
. Company website
Company website
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3
. Company profile (50 words or less):
Company profile (50 words or less):
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4
. Channel (select all that apply):
Channel (select all that apply):
Conventional supermarkets
Independent grocers
Mass/club merchandisers
Natural products retailers
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5
. Product Specialties (select all that apply):
Product Specialties (select all that apply):
Fresh
Grocery
Organic
Personal care
Supplements/vitamins
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6
. Region (select all that apply. If you serve the entire nation, please select “National.”):
Region (select all that apply. If you serve the entire nation, please select “National.”):
Central (includes Kansas, Minnesota, Nebraska, North Dakota, Oklahoma, South Dakota)
East (includes Delaware, District of Columbia, Kentucky, Maryland, North Carolina, South Carolina, Tennessee, Virginia, West Virginia)
Midwest (includes Illinois, Indiana, Iowa, Michigan, Missouri, Ohio, Wisconsin)
Mountain (includes Colorado, Idaho, Montana, Utah, Wyoming)
National
Northeast (includes Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont)
Pacific (includes California, Hawaii)
Pacific Northwest (includes Alaska, Oregon, Washington)
South (includes Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi)
Southwest (includes Arizona, Nevada, New Mexico, Texas)
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7
. Service Offerings (select all that apply):
Service Offerings (select all that apply):
Advertising assistance
Bag stuffers
Brochures
Catalogs
Educational materials
Expansion
Free samples
Inventory maintenance
Marketing consultation
New product introductions
New store assistance
Newsletters
Price lists
Product demonstrations
Product positioning
Product rotation
Remodeling
Retail promotion
Shelf sets
Shelf talkers
Signage
Velocity reports
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