Merchants Foodservice | Special Order Item Request Form

Special Order Item Request Form

Please fill out this form to the best of your ability. This will be automatically sent to the purchasing team the following morning after entry. Please do not contact the buyers directly unless you have not been contacted within 2 business days of your order entry. Please allow 2-4 weeks for delivery. ***For DOT Orders, you must enter by Tuesday to receive the next week. If not, the item will not be in for 2 weeks ***

Customer Number*
Customer Name*
Is this customer on credit hold?*
- Yes
- No
If customer is on hold, do not continue.
Your DSR Number*
Please enter a number from 100 to 999.
DSR Name*
Distribution Center*
DSR Email*

This will allow you to receive notifications on your submissions.
Approving DSM Email*
Merchants Foodservice Item Number*
If there is not a Merchants number set up, please use one of the listed numbers: Not DOT items use #111999 or If it is a DOT item use #999DOT.
Manufacturing SKU or UPC
Requested Quantity*
Please enter a number from 1 to 99.
Item Description*
Pack & Size
Requested Selling Price to Customer
Requested Need By Date
Date Format: MM slash DD slash YYYY
Supporting Documentation
Drop files here or
Comment Box