Spreadsheet: 43c7c068-2ac5-4f8f-870e-810ba5bce4a1
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | 2011 Prospective Vendor Information Form | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21
 |  |  |  |  |  |  |  |  | Information contained on this form will be kept confidential
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Rev. 11.1.2010
 |  |  |  |  |  |  |  | Brand name
Date Completed |  |  |  |  |  |  |  | Company name
Form completed by |  |  |  |  |  |  |  | Address
Phone
Toll free phone
Fax
Website |  |  |  |  |  |  |  | City |  |  |  |  |  |  |  |  |  | ST |  | Zip
Distributor contact |  |  |  |  |  |  |  | E-mail address
 |  |  |  |  |  |  |  |  |  |  | yrs | [NAME]
How long has company been selling to natural product retailers |  |  |  |  |  |  |  |  |  |  |  |  |  | How many stores carry your products
Annual sales to Natural Products Stores (N P S) |  |  |  |  |  |  |  |  |  |  |  |  |  | Average # of SKUs in N P S
PRICING / MARGINS |  |  |  |  |  |  |  |  |  |  |  |  |  | Your Best Selling Item Pricing Example
 |  |  | Example |  | Actual |  |  |  |  |  | Retail Price Example | 10 |  |  |  |  |  | Actual Product Retail Price
Retail Margin |  |  | 40-50% |  |  |  |  |  |  |  | Wholesale Price Example | 6 |  |  |  |  |  | Actual Product w/s Price
[NAME] Margin |  |  | 0.3 |  |  |  |  |  |  |  | Palko Price Example | 4 |  |  |  |  |  | Actual Product Palko Price
Minimum [NAME] margin - 30% + free freight for [NAME] to consider a new line. Preferred margin - 35% + free freight
Minimum order for free freight? |  |  |  |  |  |  |  |  |  | [NAME] prefers a $300-$400 minimum for free freight to keep better stock levels.
Introductory Discount |  |  |  |  |  |  |  | Length of Intro Discount |  |  |  |  |  | 60 days minimum preferred
Volume Discount |  |  |  |  |  |  |  | Do you offer discounts for early payments via Credit Card
Additional Terms |  |  |  |  |  |  |  | Do you accept American Express
 | example 2%/30 net 60 days |  |  |  |  |  |  | Minimum terms with [NAME] - 45 days from receipt of order. See page 2.
Do you… |  |  |  |  | Y | or | N |  | Guaranteed Shelf Life |  |  |  |  |  |  |  |  |  | Y | or | N
sell Direct to retailers |  |  |  |  |  |  |  |  | Are your products manufactured in a cGMP facility
sell Direct to consumers |  |  |  |  |  |  |  |  | Please describe your Lot Number and Expiration/Born-on Dating below
have an inside sales staff
have a MAP pricing policy |  |  |  |  |  |  |  |  | Lead-Time for shipping FOB to NW Indiana from reciept of PO
[NAME] is currently looking for Nationwide Exclusive brands.  Are you willing to offer exclusivity in the Natural Products Marketplace?
NATURAL PRODUCTS RETAILERS
Do you sell to… |  |  |  |  | Y | or | N |  | Please list additional chain stores currently carrying your products
Whole Foods
[NAME]
GNC
Sprouts
ONLINE RETAILERS |  |  |  |  |  |  |  |  | Please list other significant online retailers who carry your products
Vita-Cost
I-Herb
Amazon
Vita-Pal
NATURAL PRODUCT DISTRIBUTORS |  |  |  |  |  |  |  |  | Please list all current Natural products distributors you are currently supplying
Select Nutrition
Threshold
Kehe
UNFI
Nature's Best
Do you… |  |  |  |  | Y | or | N |  | If YES who
Use a broker network
Offer Monthly Deals
Offer [NAME]
Send Staff Samples |  |  |  |  |  |  |  |  | Please send examples of product samples with your product samples for review
Have Literature & POP |  |  |  |  |  |  |  |  | Please send copies of all marketing materials with product samples for review
Exhibit at Trade Shows |  |  |  |  |  |  |  |  | Please list
Advertise |  |  |  |  |  |  |  |  | See page 2 for our distributor advertising requirements
Offer Case Stack Deals |  |  |  |  |  |  |  |  | Please send case stack deals with your product samples for review
New Store Opening Deals |  |  |  |  |  |  |  |  | Please send new store deals with your product samples for review
CHECKLIST TO INCLUDE WITH YOUR SAMPLES - samples will become property of Palko Services and will not be returned.
Product ranking & Full Distributor Price List |  |  |  |  |  |  |  | General Policies |  |  |  | [NAME] you think might influence our decision
Prospective Vendor: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | date
 |  |  |  | (Company name)
The following points are minimum mandatory requirements for all new vendors to do business with Palko Distributing Co., Inc.  You must agree to all of the following points to complete the review process and be accepted as a new vendor.  Because companies do have employee turn over we ask that an officer agree to these commitments as well as the person completing this form. Please Initial your acceptance of each section.
Minimum Distribution Commitment
 | I agree that in the acceptance of Palko Distributing Co., Inc. as a distributor of our brand, I (the manufacturer) consent to the terms of this agreement for a minimum of 2 (two) years, or as long as Palko Distributing Co. carries my products, from receipt of first product delivery unless otherwise stipulated in writing at the time of review of this agreement.
Init.
Minimum Mandatory Advertising Commitment – EVERY YEAR we stock your items.
 | I agree to advertising a minimum of 1 time per quarter (4 times/year) in the [NAME] monthly specials catalog.
Init.
Minimum Table Top Show Support Commitment
 | I agree to exhibiting at the Palko Table Top show the first 2 consecutive years I am a vendor with Palko Distributing Co., Inc. and a minimum of 1 time every 2 years after the first 2.
Init.
Estimated yearly costs
 | I understand that my estimated yearly cost of doing business with Palko Distributing Co. will be $2300-$2500, and that these costs will be incured every year for as long as Palko Distributing Co. carries my products. This estimate includes my 4 ads per year and estimated cost to attend the Palko Table Top Show.
Init.
Monthly Promotion Buy-Dates
 | I agree to extend Palko Distributing Co., Inc. their preferred buy dates of the 24th of the month prior to a monthly promotion ending on the 24th of the month during the promotion.  Exceptions may occur when the 24th falls over a weekend for the ending date in which case the buy-in will need to be extended to the following Monday.
Init.
Trade Show Support
 | I agree to support the efforts of Palko Distributing Co., Inc. when they exhibit at trade shows by offering a “show special" to attending retailers.
Init.
Notice of all policy or price changes
 | I agree to a minimum of 90 days notice of all policy changes and/or price changes prior to the effective date of the change.  If Palko Distributing Co., Inc. cannot adhere to or disagrees with changes I agree to allow Palko Distributing Co., Inc. to return merchandise for a FULL REFUND of any monies paid for said merchandise.
Init.
[NAME] Payment Terms
 | I agree to 45 day terms from receipt of shipment into Palko Distributing Co., Inc. warehouse.
Init.
Palko Price Protection
 | I agree that no distributor shall have a price advantage over Palko Distributing Co., Inc.
Init.
Guarantee of Item Sales
 | I agree to guarantee the sale of every item in our line.
Init.
Company Support & Approval
 | I have the power to make these decisions and my company will fully support these decisions through the entire business relationship with Palko Distributing Co., Inc.
Init.
Signed |  |  |  |  |  |  |  |  | Title |  |  |  |  |  |  |  | (Company Name)
 | As an officer of |  |  |  |  |  |  |  |  | I will assure adherence to the agreements stated in this document throughout the term of our business relationship with Palko Distributing Co., Inc.
Init. |  |  |  | (Company Name)
Officer Signature |  |  |  |  |  |  |  |  | Name of Officer |  |  |  |  |  |  |  | Title |  |  | Rev. 11.1.2010