DIANA WILLIAMS PROMOTIONS LIMITED

DEMONSTRATION REPORT FORM

Please print clearly and fill out completely (one report form per demo date)

Please fax your completed form to D.W. PROMOTIONS (416) 421-6605

Company Representing:                   ______________________________________________

Store Name:                                    ______________________________________________ 

Store Location:                                ______________________________________________

Name & Position of Store Contact: ______________________________________________

Product Being Demonstrated:         ______________________________________________

Date of Demo:                                ______________________________________________

Time of Demo:                                ______________________________________________

Other Demos in Store:                    ______________________________________________  

Demonstrator's Comments:   _____________________________________________________________________________

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Manager's Signature:_____________________________________________________________

Demonstrator's Signature:_________________________________________________________