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.
Question | Answer |
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Form Name | Walgreens Questionnaire |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | walgreens supplier net, suppliernet walgreens, suppliernet, suppliernet vendor walgreens com |
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: ___ / ___ / ____ |
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Address: _______________________ |
Tax ID #: _____________________ |
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City/St/Zip: _____________________ |
Duns & Bradstreet Listing #: _________ |
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Telephone: ( __ ) ___ - ______ |
Are you a member of Uniform Product Council: Yes |
No |
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Fax : |
( __ ) ___ - ______ |
UPC Membership No: ____________ |
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Sales Contact: ___________________ |
# of Employees: _____ # of Minority Employees: _____ |
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Title: ___________________________ |
Are you a World Wide Retail Exchange member: Yes |
No |
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Email Address: ____________________ |
Do you use EDI: Yes No |
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If yes, please check: PO |
ASN Invoice Payment |
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EDI Comments:________________________ |
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Company Background: |
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Type (check all that apply): |
Ownership (please check): |
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Classification: |
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Represented by Broker: Yes No |
Sole Proprietor: Yes |
No |
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Male Owned %: |
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Manufacturer: Yes |
No |
Corporation: |
Yes |
No |
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Female Owned %: |
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Distributor: Yes |
No |
Partnership: |
Yes |
No |
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Service Provider: Yes No |
Owned: Publicly Privately |
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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 |
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Is your company certified as a Minority Owned business? Yes |
No If Yes, please specify:_________________ |
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Caucasian/White ____ |
Native Hawaiian ____ |
Pacific Islander ____ |
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Black/African American ____ |
American Indian ____ |
Hispanic/Latino ____ |
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Asian ____ |
Native Alaskan ____ |
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Other: Please Specify____________________________________________________ |
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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): _____________________________________ |
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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 |
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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 |
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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:
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Name: |
Address: |
Volume (in Units): |
1 |
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Corporation Name |
Address |
Contact |
Phone |
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Walgreen References (ie. Category Managers): |
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Name |
Title |
Address |
Phone |
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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: ___________________________ |
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Print Name: ____________________________ |
Title: __________ |
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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
Please send proposal packet to: Walgreen Company
200 Wilmot Road MS#:
Deerfield, IL 60015
Attn: Category Manager: