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Distributors Agreement

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Distributors Agreement Powered By Docstoc
					                                                                                                                                               DATE:
                                                                                                                                                                                                                            1
Merchants Distributors, Inc.
Note to Vendors: Please complete BOLD & ITALIC FACE areas only then answer the questionnaire on page 3.

            MDI ITEM CODE                  DESCRIPTION
                                           MDI DESC (24)                                                                                                                     New Item Ship Date
                                           LINE 2 DESC (40)                                                                                                                  New Item Order Date
SHORT DESC (17)                                                                                                                                                              New Item Arrival Date
VENDOR NO.                                                                                 VENDOR NAME

          UPC NC             5-DIGIT EXPANDED: MFG                                          CASE                                      ITEM                                       Accrual Amount
                                      6-DIGIT SUPPRESSED UPC:                                                                                                                    Accrual Percent
                                                                                                                                                                                    Accrual Type
                                                                                 ------------AND---------------                                                                   Rebate Percent
     Purchase GTIN (14 digits):                                                                                                                                                      Rebate Type
        Retail GTIN (14 digits):
                         PHYSICAL ATTRIBUTES                                                                           BUYING INFORMATION                                        COST/PRICE INFORMATION
                       *********************                                                              * * * (SEE BACK FOR DEFINITIONS) * * *                                       *************
                   PACK                               MST CASE                            BUYER NO.                                  MERCHANDISER NO.                               NET PRICE FLAG                (C)
             INNER PACK                            MFG BUY UNIT                        ITEM UPDATE                                           (Y)                                 PO COST (Delivered)
                    SIZE                                    UOM                    PRODUCT DATING                                      Type: Julian or Standard                    PO COST (FOB)
              MST PK WT                              COMMODITY                     FORECAST MODEL                                        DISCO REASON                              CUST CS COST
            MST PK CUBE                               SUB-COMM                                     CONTROL FLAGS               ENTER "Y" OR "N" OR TAKE DEFAULT                        "A" PRICE
             CASE DEPTH                              UNIT DEPTH                      CIGARETTE ITEM          (N)                         BREAKDOWN PK                  (Y)              CENTS OFF
             CASE WIDTH                              UNIT WIDTH                         PALLET ITEM          (N)                     ORDER BOOK PRINT                  (Y)         PRE-PRICE AMT
            CASE HEIGHT                             UNIT HEIGHT                    NEW ITEM REPORT           (N)                              SHELF TAG                (Y)              DEAL PACK                 (R)
         MFG PALLET SIZE                                  MFG TI                             J-HOOK          (N)                      AUTO RETAIL UPDT                 (Y)       SUB-ITEM NUMBER
                                                          MFG HI                            SAUERS           (N)                        SHIPPER/DISPLAY                (N)
                COF/CAW                                                                 MCCORMICK                      (N)            HAZARDOUS MATL                   (Y)                DRC FLAG (Y, N, S)
                                                                                     PRIVATE LABEL                     (N)            DRUG TAX EXEMPT                  (N)             RECLAIM SWELL TYPE
                CLASS                                WAREHOUSE                             PL CODE                     (Y)                   DRC FLAG                  (Y)           (A=Cents per, P=% of cost)
       CATEGORY GROUP                                                                      (IF PRIVATE LABEL IS "Y")                    GOURMET FLAG                   (N)        RECLAIM SWELL AMOUNT
                                                                                   DEA REPORT FLAG                     (N)               ORGANIC FLAG                  (N)    VENDOR RECLAIM AMOUNT
         INSD MRGN GRP#                                                               HISPANIC FLAG                    (N)                BOOKING ONLY                 (N)
             ORDER UNIT                                                               NATURAL FLAG                     (N)                    HM CODE                  (Y)      SRP ZONE 1
                                                                              Bioterrorism Code                                                    (IF HAZ. MTL. IS "Y")

                          SLOTTING $                                                       NOTE:                             INCORRECT UPC INFORMATION WILL RESULT IN A $1,000 FINE. ALL OTHER
                        PAY METHOD:                                                                                                 INCORRECT INFORMATION COULD RESULT IN A $500 FINE.
                    EXTENDED TERMS:
              ESTIMATED MOVEMENT:               (CS WEEKLY)                                                                                           ABOVE ITEM IS REPLACEMENT FOR :
                                                                                                                                                                                                              (code)
                  IT IS MUTUALLY UNDERSTOOD THAT A COMPANY SHOULD STAND BEHIND IT'S PRODUCTS AND WORK FOR DISTRIBUTION. IN THE EVENT AGREED UPON MOVEMENT
                     IS NOT GENERATED ON ITEMS LISTED IN 120 DAYS, THE MANUFACTURER AGREES TO REMOVE THE PRODUCT FROM THE WAREHOUSE AT NO COST TO MDI.

                  VENDOR SIGNATURE                                                                                                                TWO LIVE SAMPLES ARE REQUIRED OF ALL NEW ITEMS.

                  BROKER SIGNATURE


                                                                                                                                                                                                         Updated 06-17-03
                                                              MERCHANTS DISTRIBUTORS, INC.
                                                           NEW ITEM PRESENTATION AND AGREEMENT                                                             DATE:

This information must be filled out completely!

CASH DISCOUNT:                                     PERCENT                         DAYS                         DAYS NET.

           IS CASE COST FOB                    OR DELIVERED                    MINIMUM SHIPMENT                      VENDOR LEAD TIME


TAXABLE PRODUCT:                   Petroleum Tax                 NC TAX             SC TAX             TN TAX           GA TAX                WVA TAX                VA egg TAX
     IS PRODUCT PRODUCED OR PACKED IN NC?                                     WHO WILL BE THE FIRST RECIPIENT OF THIS PRODUCT?

 *   SIGNATURE:                                                                                                         DATE:

INTRODUCTORY ALLOWANCE:                                        AMOUNT                     FIRST SHIP               LAST ORDER                            LAST SHIP
     NEXT ALLOWANCE & DATES:
     ADDITIONAL MONIES AVAILABLE AT RETAIL LEVEL:
     ARE FREE GOODS AVAILABLE FOR INITIAL DISTRIBUTION?
     REMARKS:
TRANSPORTATION:            IF COMMON CARRIER IS USED, SHIP VIA         MERCHANTS TRANSPORT OF HICKORY                        (704) 323-4240 OR (704) 323-4289
     POINT OF ORIGIN:
     FREIGHT ALLOWANCE:

     MDI VENDOR/BROKER MAINTENANCE FORM SHOULD BE ATTACHED TO NEW ITEM FORM, IF MDI DOES NOT CURRENTLY BUY FROM VENDOR OR WHEN CHANGES ARE NECESSARY.

              VENDOR NAME                                                        BROKER:                                                       PHONE:
                   ADDRESS
                                                                                  SIGNED:                                                        DATE:

PLEASE NOTE THE FOLLOWING:
      WE FEEL AS A GROCERY WHOLESALER, CERTAIN TOPICS SHOULD BE COMMONLY AGREED UPON:
       1) A LATE DELIVERY FEE OF $200 PER DAY WILL BE CHARGED FOR ALL LATE DELIVERIES.
       2) FREE CASES ARE EXTREMELY EFFECTIVE IN SECURING DISTRIBUTION. DO YOU HAVE FREE CASES AVAILABLE?                              YES                      NO
       3) PRICE DECLINES: WILL YOU PROTECT EXISTING INVENTORY?                         YES                 NO
       4) WILL YOU MAINTAIN SHELF SPACE AT RETAIL LEVEL BY: STORE CHECKS, ATTENDING STORE SETS AND STORE REMODELING?                               YES                      NO

 * SIGNATURE OF ABOVE PERSON INSURES CORRECT AND COMPLETE INFORMATION.                       INCORRECT OR ERRONEOUS INFORMATION WILL RESULT IN FINES
     TO YOUR COMPANY. SIGNATURE OF ABOVE PERSON ASSUMES RESPONSIBILITY OF EXISTING INVENTORY AND ANY OUTSTANDING BILL-BACK OR INDEBTEDNESS.

DEFINITIONS:
 PACK           > MDI selling unit.
 MST CASE       > If this item is sold in quantities less than the master pack, MASTER CASE is the ratio between the selling unit and the master pack.
 UM             > Acceptable characters are OZ, LB, EA, GR, IN, CT, FT, ML, YD, CC, SF, MM, OT, AL, PF.
 CS U FACTOR    > For those vendors, primarily paper manufacturers', who determine brackets not on the basis of pounds, cases, dollars, cubes, pallets
                  or dozens, this is the independent factor used in determining the credit towards a maximum or minimum.
 MFG BUY UNIT   > 0) - Any quantity can be ordered, 1) - purchase must be made in manufacturers' layers, 2) - purchase must be made only in
                  manufacturers' quantities.
 PRODUCT DATING > The number of days an item can be stored in the warehouse and still maintain it's quality.
 P.O. COST      > The price for the bracket in which MDI would normally purchase this item.
                                                                                                                                                                                  Version 4/01/01
                                                                                                                                                                                           Side B
DATE:                                                              DISPLAYS
                                                                                                                                                          2
COMPONENTS CONTAINED IN DISPLAY:
                                                                                                             Fields PACK, SIZE, UOM, UNIT COST AND
        Fields CODE, ITEM DESCRIPTION, UPC, QTY, AND CASE/UNIT are required on all components.               RETAIL READY are rquired on non-stocked
                                                                                                                              items.
                                                                                                                                                 RETAIL

                                                                                                 C=Case                             UNIT        READY
CODE       ITEM DESCRIPTION                     Retail GTIN        UPC               QTY         U=Units   PACK    SIZE      UOM    COST        Y/N
                                                                      MERCHANTS DISTRIBUTORS, INC.                                                                                      3
                                                                          SALES TAX QUESTIONNAIRE                                                            DATE:
Instructions:          Indicate the category this item falls into then mark all answers that apply within the category
                                                              Dietary supplements, Nonprescription drugs and Remedies
                                                             1.
         This product has a “Supplement Facts” box                              .        This product is classified as a vitamin or a mineral
         This product has a “Drug Facts” box                                .               This product is classified as a toilette article advertised or held out for
         This product is classified as a cosmetic article (applied to the body for       sale for grooming purposes (soaps, toothpastes, hair sprays, shaving
         cleansing, beautifying, promoting attractiveness or altering the                products, colognes, deodorants and mouthwashes)
         appearance)                                                                            This product is used as diet aide or weight control preparation
         This product is classified as a device – includes contraceptive items, birth            This product is classified as a diabetic testing kit
         control or testing kits                                                            .     This product contains one or more of the following ingredients: an
         This product is classified as a remedy as listed in FL DR-46NT (see             herb or other botanical, amino acid, any substance for use by humans to
         current list at: http://dor.myflorida.com/dor/forms/2010/dr46nt.pdf )           supplement the diet by increasing the total intake or a concentrate,
                 This product is a substance or mixture of substances containing         metabolite, constituent or a combination of these AND it is not represented
         medicines or drugs for which no prescription is required or proprietary         as conventional food AND it is not represented for use as a sole item of a
         medicine purchased for the cure, mitigation, treatment, or prevention of        meal or of the diet
         disease in human beings
                                                                                    2.    Eggs (check only one)
         This product is classified as a shell egg                                                       This product is classified as boiled, pickled, or preserved egg
         This product is classified as liquid egg                                                        This product is classified as sliced, diced, or chopped egg
         This product is classified as dried egg – whole or yolk                                         This product is classified as dried albumen
         This product is classified as fortified blend


                                                                                                 3.    Foods
         This product is a substance, whether in liquid, concentrated, solid, frozen, dried              This product is a preparation of sugar, honey or other natural or artificial sweeteners
         or dehydrated form, that is sold for ingestion or chewing by humans and is                      in combination of chocolate, fruits, nuts or other ingredients or flavorings in the form
         consumed for its taste or nutritional value                                                     of bars, drops, or pieces
         This product is included in one of these categories: jams, jellies, honey,                      This product is classified as a “similar candy item”, commonly purchased by its
         preserves, syrups, frosting, dried fruits, breakfast cereals, prepared fruit in sugar           sweet taste: jelly beans, granola bars, chocolate-coated or candy-coated peanuts,
         or similar base, candy primarily intended for decorating baked goods                            cookies or pretzels
         This product is classified as seed or plant intended to grow food                               This product is classified as food or vegetable coloring
         This product is intended and sold for cooking purposes                                          This product contains flour
         This product is gum or breath mint                                                              This product requires refrigeration
         This product is classified as “prepared food” (meals sold at the store for the                  This product is intended or sold for animal consumption or marketed as pet food
         purpose of eating at or near the store)                                                         This product is classified as ice (including dry ice)
         This product is classified as ice cream, frozen yogurt, and similar frozen dairy
         and nondairy products in cones, small cups or pints, popsicles, frozen fruit bars
         or other novelty item

                                                                                            4.        Lubricant
         This item is a lubricant
                                                                                                                                                                       Continue in the back
                                                                                                                                                                                   v. 09/21/10
                                                                                   5.     Tobacco (check only one)
        This product is classified as a moist snuff product                                                This product is classified as cigarettes.
        This product is classified as a dry snuff product                                                        Number of cigarettes per individual pack:
        This product is classified as Roll Your Own cigarette                                              This product is classified as loose or smokeless tobacco – other then snuff, Roll
        This product is classified as pipe tobacco                                                         Your Own cigarette and pipe tobacco
        This product is classified as Large cigars.                                                        This product is classified as any other product that contains tobacco and is intended
        This product is classified as Small cigars.                                                        for inhalation or oral use.
            Number of cigars per individual pack:

                                                                                6.   Beverage & Juices
        This product is fluid milk to which NO flavoring has been added                        This product has alcohol suitable for human consumption and contains at
        This product is fluid milk to which flavoring has been added                           least one half of one percent of alcohol by volume
        This product contains soy, rice, any milk substitutes or milk derivatives              This product is classified as natural undiluted fruit juice, cider or vegetable
        This product can be classified as any noncarbonated drink made from                    juice (100% pure and contains no artificial or natural sweeteners, flavorings
        milk derivatives or tea, when sold in cans or similar containers                       or preservatives)
         This product is labeled as “baby formula”                               .                                                   This product is fruit juice, cider or
                   This product has natural or artificial sweeteners                           vegetable juice. Percent of juice: ________ This product is classified pure
             .            This product is classified as “bottled or canned soft                fruit juice concentrate to which no additive has been made and requires only
        drink”            . This product is classified as bottled or canned drink,             water necessary to restore the juice to its natural state
        ade or punch (finished drink)                                                                                                       This product is classified as a
                        This product has any of the terms: „ade‟, „drink‟ or                   coffee or coffee substitute or cocoa        . This product is classified as a
        beverage before or after or in conjunction with the name                               “powder-based” pure tea with no sweeteners and /or no flavoring
                            This product is classified as a cocktail mix                                                                                      This product is
                  .        This product has any carbonated or mineral added                    classified as a “powder-based” drink                         .           This
                      .     This product is classified as plain non-carbonated                 product is classified as a “powder-based” breakfast drink, chocolate or malt-
        water                .        This product is classified as flavored water             flavored (without any additional flavoring added)                            This
                               .       This product is classified as naturally                 product is classified as tea and sold in liquid form                     . This
        carbonated water                                                                       product is classified as syrup, shake-base, drink base, frozen concentrate or
Bottled Soft Drinks – “Bottled Soft Drinks” shall include any and all non-alcoholic beverages whether carbonated or not, such as soda water, ginger ale, Coca Cola,
lime cola, Pepsi Cola, Dr. Pepper, root beer, carbonated water, orangeade, lemonade, fruit juice when any plain or carbonated water, flavoring or syrup is added, or
any and all preparations commonly referred to as “soft drinks” of whatever kind which are closed and sealed in glass, paper, or any other type of container, envelope,
package, or bottle, whether manufactured with or without the use of any syrup. The term “bottled soft drinks” shall not include fluid milk to which no flavoring has been
added, or natural undiluted fruit juice or vegetable juice. (Note: This included coffee and tea when canned or bottled as a soft drink.) The term “bottled soft drinks” also
does not include plain water that is not carbonated artificially, but which is naturally carbonated before it is removed from the ground, and to which no additional
carbonation has been added.

        None of the above statements apply to this product
                Product Identification:                Description:
                                                    Purchase GTIN:                                                    UPC:
      VENDOR NAME                                                      BROKER:                                                                    PHONE:
           ADDRESS

       Electronically               Mark this field to signify your agreement that this document represents, to the best of your knowledge,
            SIGNED:                 your company answers to this questionnaire and it applies to the item identified above.
                                                                                                                                                                                  v. 09/21/10
         Your NAME:                                                                                                                                 DATE:

				
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Description: Distributors Agreement document sample