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corporate information
potential suppliers

We appreciate your interest in drugstore.com and look forward to the possibility of establishing a relationship that is beneficial for both our organizations.

drugstore.com is committed to delivering the best shopping experience for
our customers. We are committed to delivering a very broad assortment
of high quality products that may not be carried in a traditional drugstore.

In order for us to get to know your company, please fill out the attached questionnaire. If you are uncomfortable about answering any of the questions please note the reason on that particular question and Then answer the remaining questions. A valid e-mail address is required to submit your questionnaire electronically. Once your submission has been received,
it will be reviewed and forwarded to the appropriate Category Manager.

If we are interested in carrying your product line, an appropriate category
manager will respond to your completed questionnaire within three weeks.
Samples should not be sent until requested by someone at drugstore.com.

 
What is the company headquarter address?
Who is the company contact?

Example: (555) 555-5555

Required for electronic submission.
 
Example: 5 years
Is your company public or privately held?
 
CEO:
 
 
 
 
 
 
 
Can you add drugstore.com as an additional insured party?
 
Do you currently sell direct to consumers via the Internet?
 
 
Would you be willing to link to drugstore.com from your website as a WHERE TO BUY link?
 
Do any of your products require regulator approval?
 
If so, have you obtained all required approvals?
 
 
Do you own your own manufacturing facilities?
 
Questions or Comments?

Click Submit to send us your information or print this form and mail to:
drugstore.com
Attention: Director of Merchandising
411 108th Avenue NE,Suite 1400
Bellevue, WA 98004
     
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