Cox Farms Market - Pre-Lim Vendor Application

Introductory Vendor Application

Cox Farms Market
Hey!

Thank you for taking the time to fill-out this form.
Date

MonthDayYear
Date
Company*
NO SPECIAL CHARACTERS. NO SPACE AT THE END (We use automated processes. And any periods or special characters at the end will not allow the process to work. In order for us to receive this application, please heed this instruction)
Contact Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Product Description*
Ideal Department*
Where else is this product sold?*
Shelf Life of Product*
Where is the Product Manufactured?*
Is this product produced in an FDA or USDA licensed and approved facility?

YesNo
Is the product free of artificial preservatives?
Does the product's label contain a UPC?*

YesNo
How will the product be delivered?*
Which day is the product available for delivery?
UPC's and Pricing*

Please upload a document containing the products' UPC's and pricing (PDF)
Cancelof
Cox Farms Market does not accept email invoices. Each location requires a paper invoice to accompany each product delivery, and that order is to be received by a Store Manager.

By submitting this application, you (the vendor) agree to bring an invoice with delivery of product and will make sure the order has been received by a Store Manager.

All Price Changes and New Items need to be submitted a min of 14 days before the changes go active.

Cox Farms Market reserves the right to refuse an order if the accompanying invoice is not present upon delivery.
Should be Empty:

Introductory Vendor Application