Hale and Hearty Sign Ordering Form

View the Hale and Hearty Soups Asset Agreement

Signed Asset Agreement

Yes

Today's Date

Month Day Year

Date Needed

Month Day Year

Requestor*

First Name Last Name

E-mail*

Phone Number*

Area Code Phone Number

Extension

Shipping Address*

Street Address
Attention To
City	State / Province
Postal / Zip Code	Country

Business Name

Business Open

Yes No

Open Date

Month Day Year

Contact Name

First Name Last Name

Role

Distributor

Rep Name

First Name Last Name

Rep E-mail

Current or New Account

Current New

Exclusive

Yes No

Bulk / RP

Bulk RP Both

Volume per Week in Cases

Validated Volume

Yes No

Updated in Act!

Yes No

Sizes Offered

Retails

Number of Soups being Offered

Recipes Sold in

First Order Invoiced

Yes No

If No, Date of 1st Invoice

Month Day Year

Rendering Needed

Yes No

Reason for Rendering

Description of Space

(if current customer, please include what POS / EQ already in place)

Photo of Space

Browse Files

Counter Useable Space

HxWxD

Wall Space

HxWxD

Are there multiple walls available?

Yes No

Hanging Signs Approved

Yes No

If Y, Dimensions of area

HxWxD

Hardware Needed

Clings / Sneeze Guard Dimensions

HxWxD

Is there EQ already on site?

Yes No

Warmers or Kettles

Warmers Kettles

Quantity

Branded or Generic

Branded Generic

Loaned or Operator Purchase

Loaned Operator Purchase

Made 100% from Scratch

Select Sign

Quantity

Size

Grommet Needed

Yes

Suctions Needed

Yes

File Name

Simple Fresh Ingredients

Select Sign

Quantity

Size

Grommet Needed

Yes

Suctions Needed

Yes

File Name

All Spoons Welcome

Select Sign

Quantity

Size

Grommet Needed

Yes

Suctions Needed

Yes

File Name

Millions of Pleased Palates

Select Sign

Quantity

Size

Grommet Needed

Yes

Suctions Needed

Yes

File Name

Soup Makes Everything Better

Select Sign

Quantity

Size

Grommet Needed

Yes

Suctions Needed

Yes

File Name

Foodservice Logo Decal

Select Sign

Quantity at 8" Diameter

Quantity at 20" Diameter

Soup Indicator Cards

Select Sign

Cards Requested

Monthly Cards Daily Cards

Quantity of Each Card

Choose Soups Cards Needed

File Name

Menu Board

Select Sign

Size

Quantity

File Name

Soup of the Day /Macs Bakes Chilis Board (36" x 24")

Select Sign

Quantity of Soup Indicator Card Holders

File Name

H&H Branded Warmers

Select Sign

MSRP Prices:

Double Warmer: $465.00
Single Warmer: $390.00
Single Kettle: $125.00

Quantity Single Warmer

Quantity Double Warmer

Add a Canopy

Yes No

Katom Single Cook & Hold units

Select

Quantity

Sneeze Guard Cling

Select

Quantity (2.5" tall, 39.5" long)

File Name

Large Trifold Sign (107" x 126")

Select

Quantity

File Name

Counter Sign

Select

Quantity

File Name

Retail Pack Signs

Quantity Requested

Retail Pack License Plate

Quantity Requested

Chili Bar 22 X 28

Quantity Requested

NOTES

PLEASE NOTE: Lead time is important…the more the better…at a minimum please allow 5-7 days for review and response Directional investment should around 10% of the customers total spend (example, 5cs per week account at avg $20/cs = $100 per week or $5,200 per year earning a $520 POS budget)

DATE

CONTACT INFO

DISTRIBUTOR INFO

SPACE INFO

EQUIPMENT NEEDS

SIGNS