Supplier details Company name* Contact name* Job title Email address* Address* Telephone* Company registration number (if you are a new client) Demonstration information Products to be demonstrated* Number of stores* Days per store* Preferred start date* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2012 2013 2014 Earliest possible start date* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2012 2013 2014 Latest possible start date* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2012 2013 2014 Is this is a hot sampling activity? No Yes Will you be sampling food? No Yes Is the product stocked in all stores? No Yes If not, then in how many stores? Will you supply a selected store list? No Yes If yes, please attach a spreadsheet with details of stores requested Is this activity nationwide? No Yes If no, please explain how this should be done Do you require specialist demonstrators? No Yes Please note there may be an additional cost for this If yes, please explain what and why Will the demonstration require coupons? No Yes If yes, who will be producing them? lime Supplier All in-store demo activity needs to be approved by the relevant Tesco Buyer Are Tesco aware of this activity? No Yes If yes, what is the name of the Buyer? lime Account Handler Date of contact 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2012 2013 2014 If you do not know who your Account Handler is please leave this section blank. If you have any questions regarding the completion of this form please contact a member of the team on 020 7071 2500. lime will contact you within 48 hours to acknowledge receipt of your details. I have read and agree to the terms and conditions