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(select all that apply):","className":"checkbox-group"},{"values":[{"value":"category-management","label":"Category Management"},{"value":"growth-consulting","label":"Growth Consulting"},{"value":"space-technology","label":"Space Technology"}],"type":"checkbox-group","name":"business-insights-services-select-all-that-apply","label":"If you selected Business Insights Services above please check all services of interest below:","className":"checkbox-group"},{"values":[{"value":"claims-resolution","label":"Claims Resolution"},{"value":"order-management","label":"Order Management"}],"type":"checkbox-group","name":"business-process-services-bps-select-all-that-apply","label":"If you selected Business Process Services (BPS) above please check all services of interest below:","className":"checkbox-group"},{"values":[{"value":"continuity-merchandising-coverage","label":"Continuity & Merchandising Coverage"},{"value":"retail-project-work","label":"Retail Project Work"},{"value":"retail-sets","label":"Retail Sets"}],"type":"checkbox-group","name":"retail-services-select-all-that-apply","label":"If you selected Retail Services above please check all services of interest below:","className":"checkbox-group"},{"values":[{"value":"assisted-selling-associate-training","label":"Assisted Selling or Associate Training"},{"value":"brand-marketing-sales-consulting","label":"Brand, Marketing and Sales Consulting"},{"value":"digital-media","label":"Digital Media"},{"value":"experiential-event-marketing","label":"Experiential or Event Marketing"},{"value":"promotional-merchandise","label":"Promotional Merchandise"},{"value":"sampling-campaigns","label":"Sampling Campaigns"}],"type":"checkbox-group","name":"marketing-services-select-all-that-apply","label":"If you selected Marketing Services above please check all services of interest below:","className":"checkbox-group"},{"type":"text","subtype":"text","name":"other-services-specify-request","label":"If you selected Other above please specify exact service request below:","className":"form-control"},{"values":[{"value":"Direct to Warehouse","label":"Direct to Warehouse"},{"value":"Distributor Network","label":"Distributor Network"},{"value":"Direct Store Delivery","label":"Direct Store Delivery"}],"type":"checkbox-group","name":"what-is-your-distribution-model-select-all-that-apply","label":"What is your distribution model (select all that apply)?","className":"checkbox-group"},{"values":[{"value":"Yes","label":"Yes"},{"value":"No","label":"No"}],"type":"radio-group","required":true,"name":"do-you-have-a-current-agency-relationship-for-the-service-for-which-you-are-inquiring","label":"Do you have a current agency relationship for the service for which you are inquiring?","className":"radio-group"},{"values":[{"value":"Yes","label":"Yes"},{"value":"No","label":"No"}],"type":"radio-group","name":"do-you-have-a-relationship-with-acosta","label":"Do you have a relationship with Acosta?","className":"radio-group"},{"type":"text","subtype":"text","name":"if-yes-with-whom-where","label":"If Yes With Whom/Where?","className":"form-control"},{"type":"textarea","name":"what-key-information-would-you-like-to-know-about-acosta","label":"What key information would you like to know about Acosta?","className":"form-control"},{"type":"textarea","name":"what-opportunities-are-you-looking-for-acosta-to-assist-you-with","label":"What opportunities are you looking for Acosta to assist you with?","className":"form-control"},{"type":"textarea","name":"what-is-your-timeline-for-representation","label":"What is your timeline for representation?","className":"form-control"},{"type":"textarea","name":"please-provide-any-additional-information-you-would-like-us-to-know","label":"Please provide any additional information you would like us to know.","className":"form-control"}]
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