New Seller Information

This information is required before products can be added to the database for purchase order creation. Please fill out our online form or download and fill out the printable version.

General Information

Company Name *

Contact Peson *

First

Last *

Last

Phone Number

Email *

FOB Point (City & State from where orders originate) *

FOB Postal Code (zip code of Seller’s home offices) *

Brand Name (Name of Seller to appear on website) *

Your Website Address

Upload Your Seller/Brand Logo (to appear with your products) *

Payment Address (where payments are to be sent)

Address *

Address Line 2

City *

State *

Postal Code *

Phone Number *

Email Address *

Primary Corporate Address

Check if your corporate address is different than above

Address

Address Line 2

City

State

Postal Code

Phone Number

Email Address

Customer Service Address (for assistance with orders or payments)

Check to add a different address for Customer Service

Address

Address Line 2

City

State

Postal Code

Phone Number

Email Address

Website Contact Address (will be published on website for customers to use)

Check to add a different address for Website Display

Address

Address Line 2

City

State

Postal Code

Phone Number

Email Address

Lead Time

How many days does it take from receipt of order to process and ship: *

Do you have multiple shipping locations? *

How many shipping locations do you have?

Does your company allow EDI orders?

If so please provide the contact person for setting up parameters

Contact Person

Email Address

Which Accounting/Inventory system does your company use?

Accounting/Inventory System *

File Export Options ( Excel / CSV / Other)

Do you have website compatible photos of your products? *

What format are your photos? (.JPG / .GIF / .PNG / etc.) *

What is the best way to send you your orders? (not including above EDI)

Please select which method we will use to send your orders *

Email Address

Fax

Hard Copy (not preferrable method)

Which email address do you want orders sent?

What Fax number do you want to orders sent?

Freight Policy

What is the minimum order value you will ship? *

What is the minimum order value for free shipping? *

Purchasing Contacts (persons responsible for maintaining account relationship)

Sales Rep

Contact Person

First

Last

Phone Number

Fax Number

Email Address

District or Regional Manager (where applicable)

Contact Person

First

Last

Phone Number

Fax Number

Email Address

Inside Rep (where applicable)

Contact Person

First

Last

Phone Number

Fax Number

Email Address

List Pricing and Volume Discounts

Please make sure these are all outlined and communicated in excel spreadsheet format

Manufacturer Information

Brief Manufacturer Bio *

Please include a brief description of the Manufacturer. This information will appear with every item on the manufacturer info tab. This description should be a short biography of the company, their history, mission, focus and beliefs. If it is published on their website, indicate the address to find this info

Are you a GMP certified manufacturing facility? *

Do you track Lot / Batch / Serial Numbers *

Are you fully FDA Compliant? *

If no, are you working on it, and what's the ETA for full FDA compliance?

How many years have your products been sold to the public? *

If you are human, leave this field blank.

Printable Version

If you would rather print and fill out this contract please click here for printable version.

After completing the contract, please email to info@c4nmarketplace.com or mail to:

WON Marketplace
5550 W. Executive Dr. Suite 240
Tampa, Florida 33609

Need Help?

Contact WON Marketplace
info@c4nmarketplace.com
888-665-1411

Seller Central

New Seller Information

General Information

Payment Address (where payments are to be sent)

Primary Corporate Address

Customer Service Address (for assistance with orders or payments)

Website Contact Address (will be published on website for customers to use)

Lead Time

Does your company allow EDI orders?

Which Accounting/Inventory system does your company use?

What is the best way to send you your orders? (not including above EDI)

Freight Policy

Purchasing Contacts (persons responsible for maintaining account relationship)

Sales Rep

District or Regional Manager (where applicable)

Inside Rep (where applicable)

Manufacturer Information

Printable Version

Need Help?