Afferent Signal
Afferent · Forms

Afferent Signal, under your own brand.

Self-serve, live in minutes

Give your shoppers a branded way to ask their store to carry you. Paste your website and we build the form for you. Every request is tied to a real store, so you walk into buyer meetings with proof of demand, not anecdotes.

How it works

  1. 1
    Paste your website

    We read your logo, colors, products and retail prices and build a branded request form in about 30 seconds. Edit anything.

  2. 2
    Choose where shoppers can ask

    One store chain, a few chains, certain metro areas (every chain inside them), or everywhere. Your price shows as you choose.

  3. 3
    Go live and share it

    We review every form before it goes live. Then share your tracked links and QR codes, and watch requests come in by store.

What you get

A request form in your brand

Your logo, colors and products. Shoppers pick a product and the store they shop, and ask for it in under a minute.

Traffic kit

A tracked link for every channel, QR codes for packaging and shelves, printable shelf talkers and flyers, and a website button.

Live demand dashboard

Requests by retailer, store, metro and product, trends over time, and which channels bring shoppers in. Export to CSV anytime.

Buyer demand brief

A one-page, print-ready summary of shopper demand at a named retailer, to take into your next buyer meeting.

Campaign reports

After each campaign: a demand map by store, momentum, the dollar value of requests, category share, conversion, and which retailers to call first.

Every measure explained

A built-in measure guide shows how each number is defined and calculated, with worked examples. Competitors are pooled and anonymous.

Pricing

Priced by where shoppers can ask for you. Annual plans get 2 months free. You see your exact price before you pay, and we refund in full if we can't approve your form.

One store chain
from $249/mo

Every location of one retailer. $249 / $399 / $599 by store count.

Certain areas
from $499/mo

Every chain inside the metros, ZIP radiuses or states you pick. Up to 3 / 6 / 20 areas.

A few store chains
from $699/mo

Every location of the chains you pick. Up to 3 / 6 / 25 retailers.

Everywhere
$1,499/mo

Any store, any chain, across the U.S. Nothing to pick.

30-day pilot at half price

Everything included for 30 days, no auto-renewal. One pilot per brand, with a company email. The pilot fee is credited toward a monthly or annual plan.

Design partner pricing

40% off your first year for the first 10 paying brands, in exchange for a short case study.

See your form in 30 seconds

Paste your website and we'll build a draft with your logo, colors and products. Nothing is charged until you choose a plan.