Tier Operator Demo Scheduling Request Form

Complete this form if you would like to schedule a Product Sampling Demo.
This form should only be completed after you have made contact with the location manager, received permission to host a Demo, and agreed upon a date/time.

All requests must be made with at least 2 weeks advanced notice.

All Demo Scheduling Requests must be submitted at least 2 weeks before the requested date of the Demo. Do you understand this?*

Yes No

Have you been in contact with the Manager or Owner of this location?*

Yes No

Your Name*

Full name as you have it on your Affiliatly account

Your Email*

Email address that you have on your Affiliatly account

Your Affiliatly ID Number

ID is displayed when you login to your Affiliatly account. It's also the number seen on the last part of your tracking link.

Name of Location*

The name of the Store, Gym, or Location

Address of Location*

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Name of Manager/Owner we can contact.*

The name of the Manager/Owner or person we can contact regarding this Demo Event.

Email address of Manager/Owner we can contact.*

The email address of of Manager/Owner we can contact regarding this Demo Event..

Phone Number of Manager/Owner we can contact.*

The phone number of the Manager/Owner or person we can contact regarding this Demo Event.

(Requested) Date/Time of Demo*

Enter the Date/Time you are requesting. It is possible that this will change or be rescheduled.