Legal Business Name:
Trade Name (DBA):
Business Registration Number:
Tax Identification Number:
Street Address:
City:
State/Province:
Postal/Zip Code:
Country:
Website:
Role | Name | Phone | ||
|---|---|---|---|---|
Sales Representative | ||||
Account Manager | ||||
Emergency/After-Hours Contact |
Please check all that apply:
Fresh Produce (Fruits/Vegetables)
Meat / Poultry / Seafood
Dairy / Eggs
Dry Goods / Pantry Staples
Frozen Foods
Beverages (Alcoholic / Non-Alcoholic)
Packaging / Disposables
Chemicals / Cleaning Supplies
As an F&B vendor, compliance with food safety standards is mandatory. Please provide details or attach copies of the following:
Food Safety Certifications: (e.g., HACCP, ISO 22000, SQF, BRCGS, or equivalent).
File Name | Upload File | ||
|---|---|---|---|
1 | |||
2 | |||
3 | |||
4 | |||
5 |
Facility Audit: Date of last third-party inspection/audit.
Traceability Program: Do you have a formal product recall and traceability procedure in place?
Specialty Certifications: (e.g., Organic, Halal, Kosher, Fair Trade, Non-GMO).
Standard Lead Time:
Order Cut-off Time:
Minimum Order Quantity (MOQ):
Delivery Days:
Delivery Method:
Own fleet
Third-party logistics
Courier
Preferred Payment Method:
Requested Credit Terms:
Early Payment Discount:
Street Address:
City:
State/Province:
Postal/Zip Code:
Country:
Name:
The vendor must maintain active insurance policies. Please attach a Certificate of Insurance (COI) naming our company as an additional insured party.
General Liability: Minimum coverage amount.
Product Liability: Minimum coverage amount.
Workers' Compensation: As required by law.
I hereby certify that the information provided above is true and accurate to the best of my knowledge.
I authorize [Your Company Name] to conduct credit checks and verify the certifications listed.
Authorized Signature:
Form Template Insights
Please remove this form template insights section before publishing.
This section confirms that a vendor is an established, registered business entity.
In the food industry, quality starts at the source. This section tracks certifications like HACCP or ISO.
This part of the form deals with the "how" and "when" of the supply chain.
This section defines the monetary relationship, including payment methods and timeframes.
This ensures a direct line of communication in the event of a product issue.
Section | Strategic Goal | Operational Benefit | |
|---|---|---|---|
Contact Details | Established Communication | No delays in reaching a decision-maker. | |
Safety Certs | Quality Assurance | Verified adherence to industry standards. | |
Order Lead Times | Inventory Control | Reduced waste and optimized storage space. | |
Payment Terms | Financial Stability | Clear expectations for the accounting team. |
Mandatory Questions Recommendation
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