Suppliernet Vendor Walgreens Com Details

Walgreens recently introduced a new questionnaire form that customers are required to fill out in order to receive store credit. This form is an important part of the Walgreens return policy, and it is crucial that customers understand why the form is being used and what information is being collected. The following blog post will provide an overview of the Walgreens questionnaire form, including information on why it was created and what it covers.

Below is the information in regards to the PDF you were in search of to fill out. It will show you the time it will need to finish walgreens questionnaire, exactly what fields you will need to fill in, and so on.

QuestionAnswer
Form NameWalgreens Questionnaire
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswalgreens supplier net, suppliernet walgreens, suppliernet, suppliernet vendor walgreens com

Form Preview Example

N EW VENDOR PR ODUCT Q UEST IONNAIR E

Please fill out this form if you are presenting a new product to Walgreens for store resale

Company Info:

Company: ______________________

Established Date: ___ / ___ / ____

 

Address: _______________________

Tax ID #: _____________________

 

City/St/Zip: _____________________

Duns & Bradstreet Listing #: _________

 

Telephone: ( __ ) ___ - ______

Are you a member of Uniform Product Council: Yes

No

Fax :

( __ ) ___ - ______

UPC Membership No: ____________

 

Sales Contact: ___________________

# of Employees: _____ # of Minority Employees: _____

Title: ___________________________

Are you a World Wide Retail Exchange member: Yes

No

Email Address: ____________________

Do you use EDI: Yes No

 

 

 

 

 

 

If yes, please check: PO

ASN Invoice Payment

 

 

 

 

EDI Comments:________________________

 

 

 

 

 

 

 

 

Company Background:

 

 

 

 

 

 

Type (check all that apply):

Ownership (please check):

 

Classification:

 

Represented by Broker: Yes No

Sole Proprietor: Yes

No

 

Male Owned %:

 

Manufacturer: Yes

No

Corporation:

Yes

No

 

Female Owned %:

 

Distributor: Yes

No

Partnership:

Yes

No

 

 

 

Service Provider: Yes No

Owned: Publicly Privately

 

 

 

 

 

 

 

 

 

 

 

 

Please indicate the ethnic origin of your company's ownership:

Who is your sales representative?___________________________

Is your company certified as a Woman Owned business? Yes

No

Is your company certified as a Minority Owned business? Yes

No If Yes, please specify:_________________

 

 

 

 

Caucasian/White ____

Native Hawaiian ____

Pacific Islander ____

 

Black/African American ____

American Indian ____

Hispanic/Latino ____

 

Asian ____

Native Alaskan ____

 

 

Other: Please Specify____________________________________________________

 

 

 

 

Do you certify that the next 3 statements are all true: Yes

No

*Forced labor, or illegal child labor is not, and will not be, used in the manufacturing of your products

*OSHA standards are met in your plants

*Your company is in compliance with EPA regulations

Company Sales Volume:

Last Year 20 _____

Previous Year 20 _____

Previous Year 20 _____

$ Volume (in 1000s)

Net

Income

Total Debt &

Payables

#of Clients

Please provide the names and addresses of all factories used in the manufacturing of your products. (attach additional paper, if necessary)

Plant/Office Site

Location:

Square Footage:

Geographic Shipping Range

Please choose one: National Regional Local

If regional/local, please indicate service areas by city and state: ___________________________________

What is your target division: Walgreen stores

Walgreens.com

Have you shopped at Walgreen's stores: Yes

No

Marketing/Promotional Budget:

This Year: __________________________

Next Year: _________________________

Last Year: _________________________

Previous Year: _____________________

Previous Year: _____________________

New Product Information:

Products:

Patent Issued:

Yes

No

Patent Applied For: Yes

No

Please describe your product: ________________________________________________________________

_________________________________________________________________________________________

Where is your product made: %USA: ____ %Offshore: ____

Last Year's Sales Units: ___________

How long has it been on the market: ____________________

Last Year's Sales Dollars: ________

Brand Name(s): _____________________________________

 

List all direct competitive products:______________________________________________________

N EW VENDOR PR ODUCT Q UEST IONNAIR E

Please fill out this form if you are presenting a new product to Walgreens for store resale

Product Safety/Regulations/Insurance:

Are there any safety issues associated with your product:

Yes

No

(If yes, please attach explanation)

Does your company have liability insurance:

Yes

No

 

Insurance Company: _________________________

Amount: _________________________

What is the current product capacity and the percentage of production capacity you are currently running:

_____________________________________________________________________________________

Are you a private label manufacturer: Yes No

 

Will we, or our agent be allowed to inspect your factories: Yes

No

If No, please explain: ____________________________________________________________________

Please list your company's top 5 current accounts:

 

Name:

Address:

Volume (in Units):

1

 

 

 

2

 

 

 

3

 

 

 

4

 

 

 

5

 

 

 

Non-Walgreen Business References (ex: financial institutions, other retailers, etc):

Corporation Name

Address

Contact

Phone

 

 

 

 

 

 

 

 

 

 

 

 

Walgreen References (ie. Category Managers):

 

 

Name

Title

Address

Phone

 

 

 

 

 

 

 

 

 

 

 

 

I certify that the information supplied on this form is true and correct.

I will advise Walgreen Co. if any information supplied should change.

Company: _____________________________

Date: __________

Certified By: ___________________________

 

Print Name: ____________________________

Title: __________

 

 

Thank you for your cooperation in completing this questionnaire. We appreciate your interest and will contact you after we have reviewed your proposal packet. All information supplied to us will be kept confidential. Please return this completed questionnaire, along with a copy of

your certificate of product liability and three non-returnable samples of your products to the address below. Please do not submit this questionnaire separately.

Please send proposal packet to: Walgreen Company

200 Wilmot Road MS#:

Deerfield, IL 60015

Attn: Category Manager: