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Allegro Medical New Vendor Submission

Interested in having your product(s) distributed through one of our companies? Please fill in our submission form below.

Vendor Information

Company Name:

Contact Name:

Phone :

Email :

Company website:

How many years have you been in business?

How do you classify your business? Manufacturer, distributor, service or other (describe):

What products do you sell/manufacture? :

Annual Sales volume for current year and previous year? Units? Dollars? :

What sets your products apart from your competition? :

Who are your target customers? :

How many unique product SKUs do you offer? :

What marketing materials and support will you provide? (Sales training, trade shows, content, images, etc… :

Please attach your pricing pages and structure in Excel format (Include retail pricing, MPA, MSRP) :

Do you, or will, you drop ship? :

What are your minimum order requirements? :

What are your payment terms? :

Do you have a Certificate of Insurance? :

Do you ship using specified carriers? (ie, FEDEX, UPS) :

Where are you currently selling your products? Are you selling to other distributors or companies? If so, which ones? :

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