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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