Vendor Application

Company name

Company physical address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company web site address

Company phone number

Company contact name

Contact e-mail address

FDA facility number (If applicable.)

What type of product(s) are you selling?

Have we done business with you in the past?

Do you operate out of more than one location?

Please provide three – (3) business references

What do you do to ensure product quality?

Do you offer payment terms?

What is your policy concerning non-conforming product?

Do you stock this item in inventory?

What is your lead time for deliveries?

Is there a delivery fee?

What is your policy regarding volume discounts?

Is there a contract that needs to be signed?

Is there anything else you think we should know?