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Shop Wholesale Popcorn & Packable Snacks
YOU ARE ON THE PATH TO WHOLESALE RETAILING
Wholesale questions? Please email us at
wholesale@lesserevil.com
Apply Now - 10/2024
First Name
(Required)
Last Name
(Required)
Email
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Which of the below describes you?
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Which of the below describes you? *
Clinical RD
Private Practice RD
Retail/Supermarket RD
Pediatric RD
RD-to-Be
Other
Please provide your store name.
I'm interested in receiving...
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Product samples
Coupons
Educational materials
Brand news and updates
Best mailing address (NO P.O. BOXES) Address Line 1
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Address Line 2
City
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State (ex. TX, CA, MA)
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State (ex. TX, CA, MA) *
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
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What is your Instagram handle?
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What is your TikTok handle?
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How familiar are you with LesserEvil?
(Required)
How familiar are you with LesserEvil? *
I purchase and recommend LesserEvil products.
I think I've tried LesserEvil, but don't eat the products regularly.
I've heard of LesserEvil but have not tried it previously.
I'm new to LesserEvil.
Do you have any allergies we should be aware of? (Check all that apply)
(Required)
Gluten
Dairy
Eggs
Soy
None
Other
If we were to send you a t-shirt, what would be your preferred size?
If we were to send you a t-shirt, what would be your preferred size?
XS
S
M
L
XL
XXL
Where did you hear about the LesserEvil RD Network?
(Required)
Where did you hear about the LesserEvil RD Network?
FNCE
Expo West
A fellow member
Other
Comments
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Request Products
Date request is submitted (today's date)
(Required)
MM slash DD slash YYYY
Your first and last name
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Your email address
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Your phone number
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Have you requested product/support from LesserEvil previously?
(Required)
Yes
No
Nature of the ask
(Required)
Event
Social Media giveaway
Other
Background on your request (purpose of the ask, relevant links, audience it reaches). The more you can provide here to help us evaluate, the better!
Date of event/giveaway/engagement
MM slash DD slash YYYY
Date you'd need product to arrive by
MM slash DD slash YYYY
How much product are you requesting?
Do you have specific product requests (e.g. SKUs, flavors, swag, coupons, etc.)?
Will the product be shared on social media?
Yes
No
If yes, what handle(s) will be sharing it?
Mailing address for product (address, city, state, zip). NO PO BOXES.
(Required)
Is there any other info you'd like to share with us for consideration?
Name
This field is for validation purposes and should be left unchanged.
