Buyers Edge Platform & Wisconsin Restaurant Association:
Join Dining Alliance, Source1, PRIME Services, or SaveMore today.
What type of business are you?
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Restaurant
Senior Living Facility
Lodging & Travel
Convenience Store
Other
How many locations will be reporting?
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Are you participating in any other GPO?
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Yes
No
Business Name:
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Business Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Decision Maker's First Name:
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Decision Maker's Last Name:
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Decision Maker's Title:
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Decision Maker's Email Address:
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Decision Maker's Phone Number:
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Best way to contact?
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Phone
Text
Email
Please provide your GPO name:
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Distributor Name/Location:
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Distributor Account Number:
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Distributor Sales Rep Name:
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What is the best date and time to call?
Any other feedback you wish to provide?
New member authorizes Buyers Edge Platform to fill out their Letter of Participation (LOP):
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Yes
No
Signature
Digital Signature Name
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First Name
Last Name
Digital Signature Date
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Month
-
Day
Year
Date
Submit
Should be Empty: