Hienote, Inc. Supplier Qualification Form

email: info@hienote.com

Wholesale Drop Shipper Information

(NOTE: P.O. Box Addresses are NOT acceptable)

Address:

City:

State:

Zip Code:

Country/Region:

Contact Information:

Primary Contact Name:

Phone:

Fax:

Email:

Shipping Information:

Methods of Shipping (i.e. FedEx, USPS):

Shipping Regions (US, International, etc.):

Payment Terms (Net 30, Net 60, Credit Card):

Drop Ship Fees:

Qualifying Questions:

Does your company drop ship single item orders?

Does your company have a warehouse?

Do you require resellers to show proof of reseller’s certificate?

Do you stock inventory of the products you sell?

Do you have an ERP system in place?

Do you charge any reseller fees? (i.e. memberships, accounts)?

How would a person sign up for a drop ship account?

Do you have a link on your site where a person can sign up for a drop ship account?

Please list out products that are available for drop shipping below:

-------------------------------------------------------------------------------------------------------------------------------------------------------

Reproduction of this document is prohibited without the written approval of Hienote Inc.

Copyright . All inquires can be sent to: P.O. Box 1120, Crystal Lake IL 60039