VM121015

Sales Rep Broker Customer Wire Rack

Gluten Free Wire Rack

Front/Self Serve Counter Display

Back/Serve Counter Display

Customer Information: 3 Drawer Display Case

4 Drawer Display Case

Dairy Door Display

Wax Bags (1,000 per case)

Cello Bags (500 bags per case)

Stickers (500 per roll)

Reese’s® PB Cups

Reese’s® Pieces

Hershey’s® Kisses

Primary Distributor: Hershey’s® White Chip

David’s Cookies Stickers

Send To: Email: merchandising@davidscookies.com

Fax: 973.882.6998

Mail: David’s Cookies

UPS Ground Other 11 Cliffside Drive

Cedar Grove, NJ 07009

Form Submitted By:

Email:

Are you:

David's Cookies Rep Name:

David's Rep Email:

#M

Customer Signature:

Date:

It is agreed that the equipment listed above has been loaned by David’s Cookies at no charge

as long as it is utilized for the marketing of David’s Cookies products only and maintained in

excellent condition subject to normal usage and wear. Any damage or loss during or upon

termination of usage shall be the responsibility of the user.

*Please allow 5 business days for approval

and 15 business days after approval for delivery*

Secondary

Distributor:

APPROVAL DATE:

For Office Use ONLY:

ORDER #:

Account/Business Name:

Contact Name:

Address:

Address 2:

City, State & Zip:

Phone #:

Email for UPS Tracking:

jchase@davidscookies.com

Select the supplies that you’ll need to promote

and sell David’s Cookies products:

Jim Chase

Stickers

Wax Bags

Cello Bags

Decadent CookiesFor use with these items only

#44006, #44007, #44021, #44077

#44008 #4404

BrowniesFor use with this

item only

#1322

David's Cookies

Merchandise & Display Order Form

10.5" W x 12.5" H x 11.5" D

10" W x 20" H x 12" D 10" W x 23" H x 12" D

Suction cup application to cooler doors & glass surfaces

Self Serve (Front) / Serve (Back)

Counter Top Display 3 Drawer Display 4 Drawer Display

12.25" W x 17.5" H x 16.5" D

Dairy Door Display

Wire Rack Display