零售链申请表.docVIP

RETAIL LINK INTERNET FORM VENDOR FACT SHEET PLEASE PRINT LEGIBLY COMPANY NAME (as it appears on your Purchase Orders) DOING BUSINESS AS (if same as above, please leave blank) WHO DISTRIBUTES YOUR ITEMS? We distribute our own: ______ McLanes:______ Fleming: ______ Other: NAME OF SITE ADMINISTRATOR SITE ADMINISTRATOR’S INTERNET EMAIL ADDRESS (see below for more details on email address) STREET ADDRESS CITY, STATE, ZIP, COUNTRY PHONE NUMBER FAX NUMBER ACCESS NEEDED WAL-MART DEPARTMENT PRODUCT DESTINATION HOST VENDOR#(6-DIGIT) BUYER CONTACT 91 Catherine Zhu From the following categories, please specify all which apply: / / Hardlines / / Softlines / √ / Grocery / / Produce / / Meat / / Optical / / Pharmacy / / Carrier / / Bakery / / Deli / / Other – please specify: . IMPORTANT: Please be sure that your Email address meets the following criteria to ensure that you receive your Email which will give you your User Id; to ensure you are correctly added to the Buyer’s distribution list; and to ensure you receive any updates or instructions for Site Administrators. Must be accurate and easy to read (clearly printed or typed) on this application. (Please indicate if any letters are to be keyed in capital letters.) Must be a private Email address that only the Site Administrator will open, for security reasons. Must be MIME compatible. (Multipurpose Internet Mail Extensions) Contact your Internet Service Provider for any questions with this. Must be able to receive more than 1 page to an Email. If these criteria are not followed, you may not receive the email giving you instructions on how to access the Retail Link Internet system.