Distribution Specialist Report

Please fill this out for every location you visit. These are due by the 10th of each month for the previous month. (i.e. any visits in February 2019 have to be logged by March 10, 2019)

  • Who did you talk to or work with?
  • Please list address of place
  • Phone number for that contact person or place of business
    Check all that apply.
  • Any comments about why they did or did not want these materials?
  • if applicable