OBC Form - Bill Backs & SamplesAll reps must complete this form to request samples for events requesting samples. Rep Name * First Name Last Name OBC Customer * Event Name * Event Date MM DD YYYY Event Type Supplier Visit Trade Lunch Supplier Visit Consumer Event Customer Consumer Event Industry / Trade Event Marketing or Media Event Other Event Reach - ROI for OBC and/or Supplier * SAMPLES Sample Category Product Donation By OBC Product Donation - Approved by Supplier Product Donation - Need Mgmt Help Coordinating Bill Back Supplier(s) Please list the Supplier(s) who you have requested samples from Sample Request Please include 1. OBC Product Number 2. Product Name 3. Qty by Bottle Additional Notes / Comments for Managment Thank you for submitting your request. Please punch the request into Encompass and note that you have submitted this form. If you have correspondence confirming your bill back please submit that to @purchases.Thank you again and good luck with your event.- Management
