Corporate.oreillyauto.com



Potential Supplier Questionnaire

**Please return form and any additional information to the O’Reilly Merchandise Department newproduct@**

Company Name      

Full Name            

Address: Street Address      

Street Address Line 2      

City       State/Province      

Postal/Zip Code       Country      

Phone Number       -       -      

E-Mail      

Website      

Thoroughly describe the product(s) that you would like to sell us.

     

Is your product packaged for resale (labeling, packaging, UPC, etc.)?

Yes

No

Where is your product manufactured? Is your product application driven

      (Country) Yes

No

Do you offer a private label packaging program?

Yes No

Do you consider your products(s) to be automotive related?

Yes No

Do you have printed catalogs?

Yes No

Is it available in an industry recognized database: (Activant, Triad, etc):

Yes No

Please Explain:      

Is your catalog data available in ACES format?

Yes No

Do you have catalog images of all part numbers you offer?

Yes No

Does your company have EDI capabilities?

Yes No

Do you currently sell your product(s) to other retailers?

Yes

No

If so, please provide information

Company 1      

Since (Month, Day & Year)      

Address: Street Address      

Street Address Line 2      

City       State/Province      

Postal/Zip Code       Country      

_____________________________________________________________________________________

Company 2      

Since (Month, Day & Year)      

Address: Street Address      

Street Address Line 2      

City       State/Province      

Postal/Zip Code       Country      

_____________________________________________________________________________________

Company 3      

Since (Month, Day & Year)      

Address: Street Address      

Street Address Line 2      

City       State/Province      

Postal/Zip Code       Country      

_____________________________________________________________________________________

Additional Comments      

Is your product sold in any O’Reilly location?

Yes

No

If yes, please tell us which O’Reilly location

Address: Street Address      

Street Address Line 2      

City       State/Province      

Postal/Zip Code       Country      

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