Fillable Prospective Supplier

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Prospective Supplier

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Prospective Supplier
Company Name _______________________________________________________________________
Address ______________________________________________________________________________
City ____________________________________ State ___________________ Zip __________________
Contact Person ________________________________________________________________________
Contact E-mail _________________________________________________________________________
Phone Number ________________________________________________________________________
*Company Website _____________________________________________________________________
How long has your company been in business? ______________________________________________
Does your company have Product Liability Insurance? Yes No
Please describe your advertising and other marketing activities _________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Brief description of overall product offering _________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Companies/Distributors Currently Selling your Product(s)_______________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
MidwayUSA honors all credible, published, Minimum Advertised Price (MAP) programs where
consistently and equally enforced.
Please email this form, Price List, Description, and any other information you believe to be helpful
in making a decision about adding your product(s) to prospectivesupplier@midwayusa.com
Price List should include:
Product Number, Product Description, Cost, Manufacturer’s Suggested Retail Price, Order Minimums
*If you do not have a website, please attach images of your product.
MidwayUSA is always looking for new products to add, and we look forward to reviewing your
submission. Thank you.
Sincerely,
MidwayUSA
** PLEASE DO NOT SEND SAMPLES, UNLESS REQUESTED. **
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Prospective Supplier

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Completed 25 May 2021

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