Promotional Product Request Form Request DetailsTerritory Manager *Justin MClean | Midwest & Northeast RegionRandy Pratt | Northwest RegionKevin Sterns | Southwest RegionJennifer Borrow | Texas RegionBruce Sensing | Southeast RegionDylan Ewald | Rocky Mountain RegionDealer/Event/Purpose *Dealer -or Event Address *Phone * Product InformationParts Requested & Details *Approval Due Date *Event Date | Parts Needed By * Purpose and ROI DetailsDescription *Briefly explain what kind of ROI marketing can expect from this?Rolling 12 by Brand * Requestor InformationEmail *This form will send you a confirmation email and it will also send an email notification to the Marketing Manager. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: