Tell us about yourself... Name* First Last Company Name (optional)Address* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Safe phone number to reach you atSafe email to reach you at* How did you hear about Vernon?* Magazine ad Email ad Direct mail letter Referral from Vernon account executive Referral from supplier Online newsletter ad Blog Facebook Twitter Vernon Sales Manager Vernon website Other If you select OTHER please detail belowEnter how you heard about Vernon hereIf you are a business owner please check all that apply I work for and by myself I have other sales reps working for me I employ some staff to help on the admin side of things How would you categorize yourself?*Distributor OwnerEmployee Sales Rep1099 Independent SalespersonNot in the promotional products industryMy promotional product sales for the last 12 months amount to*What is your gross profit percentage on your last year's sales (if known)Do you have a non-compete contract?*YesNoUnsureIf you answer Yes, please fax a copy of the agreement to 641-791-8608 so that we may determine its validity.Please check all that apply...* I receive a salary I receive commission I receive a salary plus commission or bonus I receive group health insurance I have a 401 K with my company I receive expense reimbursements I have a company car I work out of an office What industry shows do you attend? PPAI Las Vegas - January ASI Orlando - January ASI Dallas - February UMAPP - March ASI New York - April UMAPP - May ASI San Diego - May Expo East - May ASI Chicago - July SAAC - August None of the above Other industry events such as NALC, Women's Leadership, ASI Power Summit, Regional Shows, etc.Enter number of years in the promotional products industry*I am not in the business today0-3 years4-7 years7-15 yearsMore than 15 yearsWhat product lines do you currently sell? Check all that apply: Calendars Apparel Gifts Signs and Graphics Printing Writing Instruments Drinkware Award Recognition Programs Service Recognition Programs Safety Programs On Line Stores Stock Inventory/Fulfillment Programs None, I am not in business today! Please check off your number ONE priority when considering changing to a company like The Vernon Company*Better Split-More CompensationSales Support, Back and Front EndMarketing and technology ToolsFinancial Stability and Buying PowerPlease check off your number TWO priority when considering changing to a company like The Vernon Company*Better Split-More CompensationSales Support, Back and Front EndMarketing and Technology ToolsFinancial Stability and Buying PowerWhat do you like least about your current work situation*What do you like most about your current work situation*CAPTCHA