PROSPECTIVE VENDOR/SUPPLIER PROFILE FORM
[Pages:4]U
PROSPECTIVE VENDOR/SUPPLIER PROFILE FORM
COMPANY INFORMATION
Date:
Dun & Bradstreet (DUNS) No.:
Federal Tax ID No.:
Company Name (Provide legal name as listed on Dun & Bradstreet):
Address:
City:
State:
Zip:
Website:
Company Owner:
Year Business Established:
# of Employees:
Annual Sales $:
Geographical Service Area:
Insurance Carrier:
Check the description that best matches your company:
LLC
Partnership
Corporation
Sole Proprietor
What type of vendor are you?
Domestic Manufacturer
International Manufacturer
Importer
Distributor
Is your company affiliated with another company? If yes, explain:
Yes
No
Can your company process EDI transactions either in-house or through a 3rd party provider?
Yes
No
Has your company previously submitted information to ULINE?
Yes
No
If yes, what has changed? (Developed new capabilities, markets, acquisitions, or attained a larger
than expected volume growth?)
Comments:
U SHIPPING SUPPLY SPECIALISTS
PAGE 1
REVISED 6/09
CONTACT INFORMATION
Main Contact Name:
Title:
VP of Sales Name:
Address:
City:
State:
Phone Number:
Fax Number:
Email Address:
Are you a sales representative that represents multiple companies?
PRODUCT INFORMATION
Description of proposed product:
Zip:
Yes
No
Proposed pricing to ULINE for products:
Do you manufacture the product or distribute? If manufacturing, where are your facilities?
Is the product being imported? If so, from where?
If importing or manufacturing, who are your current distributors?
U SHIPPING SUPPLY SPECIALISTS
PAGE 2
REVISED 6/09
PRODUCT INFORMATION CON'T
Description of product's competitive advantage: What products does it compete with? Why is yours better?
Description of how your product would fit, complement or enhance the current ULINE product lines:
Do you sell direct to end users? If yes, please elaborate:
Yes
No
Who do you consider to be your direct competitors?
BUSINESS REFERENCES
Do you currently provide your product or service to other distributors?
Yes
If yes, please list three catalog distributors you have worked with in the last three years:
No
1. Company Name: Contract Description: Annual Volume Amount:
2. Company Name: Contract Description: Annual Volume Amount:
3. Company Name: Contract Description: Annual Volume Amount:
U SHIPPING SUPPLY SPECIALISTS
PAGE 3
REVISED 6/09
NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS)
Primary NAICS Code:_ ______________________________________________________________________ Primary US Title: ____________________________________________________________________________ Additional NAICS Codes:____________________________________________________________________ Additional NAICS Titles:______________________________________________________________________
Is there anything else to be taken into consideration when reviewing your proposal?
Submitted by: Name:
U SHIPPING SUPPLY SPECIALISTS
Title:
PAGE 4
Date:
REVISED 6/09
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