2025 Annual Event Enrollment

Contact Information

Contact Name*

First Last

Company Name*

Title*

Phone Number*

Email*

Company Address*

Street Address Address Line 2 City State (If International type "None") ZIP / Postal Code Country

Color Swatch Ship to Address

If different from the Company Address

Street Address Address Line 2 City State (If International type "None") ZIP / Postal Code Country

AE Program Name*

Brand Description

Walmart Department Number*

Please submit each program as a separate entry.

Walmart Merchant (Buyer’s Name)*

First Last

Corrugated Manufacturer*

Corrugated Manufacturer Location*

Packout Location*

MABD (Must Arrive By Date)*

Type of AE Display*

Hold down "Ctrl" (Windows) or "Command" (Mac) while clicking to select multiple options individually.

Comments

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