PERFORMANCE ARIZONA FOODCENTRIC

Broker or Vendor

First Name

Last Name

Vendor Name

Phone Number

Broker Name - N/A if direct

Broker Rep Name

Do you have allowances on items?

How many items are at your booth?

Brief description of what equipment will be used

Will you have POS to upload to your virtual booth?

Have you worked with another Opco for a virtual booth?

If yes what opco?

Will you need Electrical for your booth?

Number of Circuits

Will you need kitchen access?

Will you be cooking product?

Will you need Wifi?