Hosted Guest Survey

SECTION 1: About You & Your Organization
Full Name (First, Last)*
Company Name*
Business Address*
Website/URL*
Cell Phone*
Email Address*
Company Overview - Please provide a short synopsis of your Company History / Bio*
Please Submit a Headshot*
Max. file size: 1 GB.
Please Submit your Company Logo*
Max. file size: 1 GB.
Position*
How many years have you been in business?*
How many customers’ locations does your company have under management?*
How many POS systems does your company have under management?*

Other Valued Distributor Services*
SECTION 4: Your Market & Buying Strategy
Who Buys What You Sell (Estimated % of revenue and 2026 forecast – must total 100%)
A. HOSPITALITY*
% Revenue % Revenue 2026 Forecast
B. RETAIL*
% Revenue % Revenue 2026 Forecast
C. GROCERY*
% Revenue % Revenue 2026 Forecast
D. EDUCATION*
% Revenue % Revenue 2026 Forecast
E. OTHER*
% Revenue % Revenue 2026 Forecast
Why Customers Choose You (Select Top 3)*
- High-quality products
- Cost-effective, efficient solutions
- Expert market knowledge
- Responsive support and service
- Broad or unique product portfolio
Where You Source Your Products (Estimated % of cost of goods sold and 2026 forecast – must total 100%)
A. DISTRIBUTION*
% Revenue % Revenue 2026 Forecast
B. DIRECT FROM SUPPLIER*
% Revenue % Revenue 2026 Forecast
C. SELF-PERFORM*
% Revenue % Revenue 2026 Forecast
D. OTHER*
% Revenue % Revenue 2026 Forecast
Top 3 Distributors You Work With*
SECTION 5: Looking Ahead
Timeline for Introducing New Products or Services*
Forecasted Solutions for 2026 (100 words max)*
What Would Make the Summit a Success for You? (100 words max)*
CAPTCHA
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Hosted Guest Survey – 2025 Retail Technology Solutions Summit (RTSS)

% Revenue	% Revenue 2026 Forecast

% Revenue	% Revenue 2026 Forecast

% Revenue	% Revenue 2026 Forecast

% Revenue	% Revenue 2026 Forecast