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Home | Customer Center | Vendor Submission Form

Vendor Submission Form

Would you like to become a Shoppers Advantage vendor?

If you have a product line you would like represented on our site, please complete the form below for submission to our buying staff.

Fill in the fields below, all required fields are in red.

Name:

Company Name:

Address:

City:

State:

Zip:

Phone #:

- - Ext.

Email Address:

URL

Type of Business:

Products Sold:

Do You Drop Ship*?:

*Drop shipping requires that you, as the product manufacturer, distributor or fulfillment house, have the ability to ship single unit orders to individual residences.

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