Name of sales rep: (required)

Name of account / company contacted or met with: (required)

Date and time of meeting: (required)

Current gutter protection product used: (required)

Current annual sales volume of gutter protection products: (required)

Current issues / problems / pain points with business or product: (required)

Detailed description of meeting: (required)

Detailed feedback on response to Gutter Gekko brochure and idea of switching to the Gutter Gekko brand: (required)

Any other feedback: (required)