Cvs New Vendor Information Form - Ecrm Page 2
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1
2
3Warehouse and DSD Vendors
Credit Application Attached
Yes
No
Seasonal
Hold 30% of Spend $
Product Description
Category #
Certificate of Liability Attached Yes
No
DSD Vendors Only - (Bolded fields in this section only are completed by CVS FMM or CM)
All Store Vendor
Yes
No
Gross Margin %
If applicable, all related CVS Corp 1 Vendor #s (must list all)
Does Vendor provide bracket pricing?
Yes
No Does Vendor Pay Freight?
Yes
No
Detail or Summary Vendor: (FMM/CM to assign) ______________________
Dropship Yes
No
Dex, Nex, Symbol or Other ________________
DEX Vendors Only
Comm ID ________________ Duns #__________________________
DEX Contact ___________________________ phone #________________ Email ____________________________
DEX hardware make/model ___________________________ DEX software vendor/version ____________________________
Requested by FMM or CM
We require that all CVS DSD vendors read and sign DSD Vendor Policy Acknowledgement Form prior to being set up for payment.
A signed copy of DSD Vendor Policy Acknowledgement Form must be returned with this CVS Vendor Information Form.
Complete back of form and sign.
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Parent category: Business