• Enter your email address so we may contact you if we have any questions. If provided by a store, please use your store email address
  • Legal classification of item from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Select the most appropriate option from dropdown menu
  • Product Info

  • Who makes the product? Ex. Oliver Soft Red, Crown Royal Apple, or Sun King Orange Vanilla
  • Ex. 4/6pks, 6/4pks, 12/750ml, 6/1.75s
  • What company name is on the invoice provided by the supplier? Ex. RNDC, Cavalier, Monarch, Zink
  • For use by the supplier - Which "book" is this from. D&E, Signature, Fox, etc.
  • What is the number associated with this product found on the invoice? Ex. 56842
  • What is the total cost per case charged on the invoice? Ex. $19.59
  • Type in the entire number found under the bar code on the individual item. Usually a 12 digit number and found on the selling unit. Please do not use dashes, spaces, leading zeros or any other non numerical characters. (correct: 012222688692 incorrect: 0-12222-68869-2)
  • Type in the entire bar code number found on the package being sold. Usually a 12 digit number and found on the selling unit. Please do not use dashes, spaces, leading zeros or any other non numerical characters. (correct: 012222688692 incorrect: 0-12222-68869-2)
  • FOR RETAIL USE ONLY: What Store location are you sending this submission from? Ex. 4, 220, 416.
  • Taste profile information for use with signage