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Swag Request Form

Please fill out the form below and we will complete your request!

A separate request form is REQUIRED for each client and/or conference.

Step 1 of 3

33%

Date

MM slash DD slash YYYY

Company Name

Please enter the COMPANY name of your customer/client

Company Shipping Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Contact Person

Company Contact Phone Number

Company Contact Email

Company Contact's Current Spend at Clutch

What is this Client's or Company's current spend with Clutch

Items

Mini Hand Sanitizer

Black Drawstring Bag

Black Cooler Tote (9”W x 7.5”H x 5”D)

Clutch-Branded Polo

Black Clutch Mousepad

AZ Sandstone Coaster (Not for Conferences)

Mini Hand Sanitizer Quantity

Please enter a number from 1 to 20.

Black Drawstring Bag Quantity

Please enter a number from 1 to 20.

AZ Sandstone Coaster Quantity

Please enter a number from 1 to 5.

Item in not available for conferences.

Black Cooler Tote Quantity

Please enter a number from 1 to 20.

Black Clutch Mousepads

Please enter a number from 1 to 5.

Low Quantity Available (less than 10)

Polo Sizes and Quanity

List sizes and quantity needed for each size.

Is this swag for a conference?(Required)

Yes

Do you need trade show materials for the conference?

Yes

Trade Show materials include: 6ft Table Skirt, 11"x17" Table Top Retractable Banner, 6.5ft Retractable Banner or 3ft x 6ft Matte Vinyl Banner (with 4-corner grommet holes)

Conference Name:

Please list conference name(s) here

Additional Information or Special Requests for Conference Swag:

Swag Item quantities greater than quantity limit, Specific Trade-Show item, NEW swag item request (not guaranteed)

Your Name(Required)

First Last

Your Email(Required)

Manager Name(Required)

First Last

Manager Email(Required)

Has this been approved by your manager?

Yes