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Material Vendor Registration Form

Please provide the following contact information:
First Name:*
Last Name:*
Title:*
Company:*
Address:*
Address 2:
City:*
State:*
Zip:*
Country:*
Work Phone:*
FAX:
E-mail:*
URL:
PURCHASING INFORMATION
Dun & Bradstreet number:
Toll-free Phone/Fax number: NoYes
Phone:
Fax:
Per order minimum: NoYes
Amount $:
Quantity:
Contingent's Account Number(with your company):
 
Credit terms(Contingent Network Services’policy is Net 45):
 
"Quick-pay" discount structure(Contingent Network Services’ policy is 2% discount if payment is within 10 days):
 
WARRANTY INFORMATION
Standard workmanship warranty period, and the highlights of your warranty program:
 
Is warranty information included in the packaging of your product:
YesNo
At what point does the warranty begin?
When it ships from manufacture's location.
When it arrives at purchaser's location.
When it arrives at the end-user's location
  (Contingent Network Services’policy is coverage to begin when it arrives at the end-user’s location)
Please provide the following product return contact information:
Name:
Work Phone:
FAX:
E-mail:
Process for credits on returns:
If a product is returned for repair due to a manufacturing defect, who is responsible for the freight charges:(check one)
Contingent Network Services   Vendor
 (Contingent Network Services’policy is…CNS pays shipping for customer replacement product, therefore expects an invoice credit for freight charges incurred by returning defective product to the vendor).
SHIPPING
Freight terms(check one):
FOB Destination
FOB Shipping Point
Other
If FOB shipping, shipping location:
List all other locations:
Air freight:
UPS
FedEx
DHL
Airborne
Other
Can Contingent Network Services specify our carrier of choice:
NoYes
Surcharge for expedited shipments, such as next or second day:
NoYes, $
Offer free freight: (circle one):
NoYes, minimum order amount $: Quantity:
Drop-ship (circle one):
NoYes, per order minimum: Quantity:
Lead-time to process drop shipments:
 
Drop ship in unmarked packaging:(To protect Contingent Network Services’ sources when necessary):
Yes No
Bar code labels on its packages:
YesNo
Contingent Network Services' part numbers on your packages:
No
Yes, with charge
Yes, w/no charge
Part number clearly, marked on your packages:
YesNo
INVENTORY
Please provide the following product return contact information:
Name:
Work Phone:
FAX:
E-mail:
Policy on returns of new, unused product (Stock Rotation):
 
(Contingent Network Services’ policy is rotation rights equal to 25% of quarterly purchases in the form of a credit to purchase dollar-for-dollar, not product for product replacement stock.)
STOCK PROTECTION
"Right to return" policy for allowing return of initial stock for a full refund within the first 6 months: (circle one)
Yes No
If no, policy for sharing the risk on the initial stocking package:
 
If yes, when is fund processed (within 30 days, etc.):
Price protect stocking distributors:
NoYes, time period:
TECHNICAL SUPPORT
Technical Support:
Yes No
Direct person-to-person:
Yes No
Hours:
Toll-Free Phone #:
Web Site:
E-mail Address:
Fax-Back Service #:
ISO9001 Certified:
Yes No
Quality Control Program:
ISO
MIL
QS9000
Other
Target quality level, and achievements:
 
MARKETING
Sell direct to end-users:
Yes No
Sell to National Distribution:
Yes No
If Yes, Please List:
 
Define your regional distribution boundaries for stocking distributors:
 
Structured distributor program with sales thresholds: (circle one)
Yes No
If Yes, Please explain..
 
Free evaluation samples?
Yes No
If no, evaluation time period:
Co-op discount accrual (i.e., 2% of previousQtr.'s purchases.):
Yes No
If Yes, then percentage, and time period
yes, is a credit issued automatically, or apply for credit:
Literature funding for catalog space displaying your products:
Yes No
Other promotional programs for Resellers and Distributors:
Yes No
If Yes, please explain (e.g., spiffs, dollar days, etc.):
 
Demand creation activities:(i.e. targeted advertising, tradeshows, etc.)
 
Share leads from your demand creation efforts:
NoYes
Link customers to where to buy partner:
NoYes, timetable on updates to links:
Does your organization exhibit at Trade Shows (e.g. Comdex, PC Expo):
Yes No
If no, interested in collaborating in our Trade Show booth:
Yes No
Supply products to be used in tradeshow effort (non-resellable, cosmetically accurate demo units are acceptable):
Yes No
Thank you for taking the time to answer the above questions. We will process this information in a timely manner, and respond with any additional questions, if necessary.
I hereby certify that the attached information contained herein is accurate.
Please Initial*
Printer Name:*
Title:*
Date:* -- mm/dd/yy
 
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