Merchants Foodservice | Sample Request Form

Sample Request Form

Please fill out this form to the best of your ability. This will be automatically sent to the broker email you enter. Please contact the broker directly to make sure they have recieved the request. You should also recieve a confimation email of what you have entered.

Distribution Center*
Your DSR Number*
Please enter a number from 100 to 999.
DSR Name*
DSR Email*

This will allow you to receive notifications on your submissions.
Customer Number*
Customer Name*
Merchants Foodservice Item Number*
Item Description & Brand*
Pack & Size
Manufacturing SKU or UPC*
Broker Contact Email Address*
Enter Email Confirm Email

If you do not know who reps this line, copy the link below and download the latest Master/Vendor/Broker Listing! http://bigm.merchantsfoodservice.com/Corporate%20Sales%20Documents/Master%20Vendor-Broker%20List.xlsx
Requested Need By Date
Date Format: MM slash DD slash YYYY
Supporting Documentation
Drop files here or
Comment Box

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