fall trade show at meadowlands 10/27/22 customer is interested but isn’t ready to buy! CUSTOMER / DIVISION Which NCD Division services your store(s)?Please select... Allen Brothers / Philly / South / Del Valley Century Distributors / Rockville / Mid-Atlantic Harold Levinson Associates HLA / Farmingdale / Central / Tri-State J Polep / Chicopee / North / New England Multiple Divisions TRI-STATEPlease select... Abdullah Sherhan Alan Pedersen Alana Raiola Andrew Butler Andy Hamed Ankit Singh Ankush Sachdeva Anthony Catalanotto Anwar Thabet Beka Mskhiladze Bill Hart Bill Mahoney Brian Kiraly Brian Leroux Brian Spare Chris Glover Chris Kreye Christian Bernabel Christina Roberts Christina White Claudia Guncay Dan Santini Dave Bendlin David Knapp David Price Dennis Parmar Dharmesh Bhalala Dylan Hathaway Emilio Montanez Fernando Fernandez Frank Chirico Frank Scrudato Frank Talarico Fred Maia Gabriella Donofrio Gabriella Minikel Gary Flynn Gary Singh Gerard Gatto Greg Muhlig Greg Romer Hakan Gokgurler Ismail Evlek Jacki Ayers Jacklyn Ebbitt Jake Townsend Jeanette Bhuiyan Jeff Hulme Jeff Laporte Jerry Magalong Joel Iskowitz John Reynolds Jose Ortiz Joseph Pucino Kamela Green Keith Hugger Ketan Shah Kifah Al-Zaydee Kristin Goodwin Lorraine Ayala Lou Troilo Mark Bruno Mark Hennessey Mark Kavanaugh Mark Mathis Marty Glick Mathew Donohue Mathew Dunbrook Mathew Geyer Matt Cibik Michael Ambrosio Michael Bader Michael Maio Michael Schear Michael Shepherd Michael Silverman Michelle Ammirati Michelle Castaldo Midwood Tobacco Mike Cataldo Mike Skasko Mike Tannenbaum Mohammad Sabir Muhammed Navaid Nasim Ali Nicholas Cyr Nick Marcello Nick Troilo Nina Wolvin Paritosh Patel Patrick Slater Paul Hofer Peter Abramczyk Peter Levine Rashid Asif Robert (Bobby) Mostacci Robert Korona Romaine Stewart Sam Pangallo Samantha Matos Scott Faber Scott Katz Shakil Ahmed Shannon Brannigan Shilpa (Shifa) Mapkar Steve Colella Steve Horn Steve Scibilia Tenzing Lama Tim Auxier Tim Kinnie Todd Lucas Tommy (Haldun) Ditaban Tracey Schaeffer Wesley Gilson Yonny Mercera Zach Minnich Zulfiqar Mazari NEW ENGLANDPlease select... Adam Kramer Al Cameron Alan Plotkin Anthony Palazzolo Apryl Macrae Bea Martin Brenda Bacon Brian Reilly Chris Manning Christian Beaulieu Chuck D'Andrea Claudio Annecchiarico Cliff Kramer Dan Barry Daniel Milligan Danny Medeiros Dave Madonna Dave Taylor David Lefkowith David Slifka Donna Guevremont Ed Creamer Ed Pape Eddie Medeiros Elie Elbach Erica Lambert Erin Mercolino Nigro Gary Hanson Gary Webster Gene Porciello Jacob Baez Jake Harrington Jason Russin Jeff Blair Jeff Pulver Jennifer Leidemer Jessica Rivers Jim Kantany Jim Phillips Joe Normand Joe Rodrigues Jonathan Belen Kathy Cote Kevin Rossmeisl Laurie Greany Lee Nicolas Marc Pelletier Megan Tweedie Melissa Larose-Nicolas Michael Howell Michael Pape Michael Wiener Michele Haseltine Mike Ivas Mike Moore Mike Skowronek Naeem (Muhammad) Ghazi Nate Murray Nicci Lachance / Pepin Patricio Hernandez Pete Poirier Peter Simard Raed Abdelrahim Rahul Katoch Randy Allen Renee Mack Rich Finestone Rick Thompson Rob Chapman Roger Foley Ryan McCarthy Sam Peterson Sam Polep Samantha Lambert Santosh Subedi Sarah Binney Scott Otero Sean Cody Steve Binney Steve Picarillo Sue Sciuto Sue Trompke Tim Hooks Tim Howell Timothy Viehoff Tom Martini Tom Morrissey Tracey Teal Valerie Cellucci Viral Patel MID-ATLANTICPlease select... Benjamin Philipson Bill Stamos Bob Rodman Christopher Burch Darren Pulvirenti Dave Prevo Elijah Figueroa Erik Sullivan Goran Baban Himash Fernando Jesse Therwanger Joe Spoltore Kim Lam Larry Abrams Lori Rodman Marti Stepner Martin Rowley Rachel Rabin Ranjan Sirwardana Robert Garrison Ruw Daluwatte Sally Rausch Sam Lee Scott Bondroff Scott Greenberg Shaun Brett Shawn Mead Stacey Isaacs Veronique Cabulong Yung Piccolo DELAWARE VALLEYPlease select... Bob Miller Chris Bythrow DAN SARGENT (AB) Gary Kautz GARY SINGH (AB) Harry Connell JAKE TOWNSEND (AB) Jim Norton John Luciano John Quisito KASHIF JAMIL (AB) Kyle Sutherland LOU TROILO (AB) Michael Lagana MIKE MAIO (AB) NINA WOLVIN (AB) Ravi Wadhwa Richard Phillips Scott James Steve O'Donnell Customer Name Customer Account # If they have multiple stores, just put one account # INTERESTED IN COFFEE Do you currently offer a COFFEE / HOT beverage program?Please select... Yes No Unsure If yes, which coffee brand is most prominent in your store(s)?Please select... Baronet Bean Town Caribou Chock Full 'O Nuts Green Mountain Illy Island Coffee Lavazza Nespresso New England Coffee Peet's Starbucks Other Unsure NONE Interested in NCD's coffee brand below?Please select... Not Interested Island Coffee Bean Town (New England Only) Baronet Chock Full 'O Nuts Green Mountain New England Coffee Approximately, how many pounds of coffee per week do you sell? Other FOOD SERVICE Are you interested in learning about our CHICKEN program?Please select... Yes No Unsure Are you interested in learning about our PIZZA program?Please select... Yes No Unsure Are you interested in learning about our ROLLER GRILL program?Please select... Yes No Unsure Are you interested in our SANDWICH/GRAB GO program?Please select... Yes No Unsure Are you interested in learning about our UNCLE ED's PASTRY, SNACKS or CONFECTION ITEMS?Please select... Yes No Unsure TOBACCO / OTP Are you interested in learning about our PREMIUM CIGAR program?Please select... Yes No Unsure Approximately, what is your weekly cigarette carton count? enter #s only GENERAL QUESTIONS Select all of the delivery services you participate in, if any.Please select... None DoorDash Go Puff GrubHub Lula Postmates Seemless Self-Delivery Uber Eats Other Do you participate in any Distributor accrual programs?Please select... Yes No Unsure Do you have digital signage/TVs in your store(s)Please select... Yes No Unsure Are you happy with your POS provider?Please select... Yes No I don't have a POS system Unsure Anything else you want to share? Contact Information