Dierbergs Markets New Resale Vendor Form

Dierbergs Markets New Resale Vendor Form

We look forward to learning more about your product and how it can benefit Dierbergs Markets and our customers. Please complete the below form with as much detail as possible. We are unable to review forms that fail to include all information requested.

Once the initial product evaluation has been completed by our staff, if our team is interested, we will request more detailed product information along with samples. Thereafter, possible next steps would include a follow-up phone call and/or request for an appointment. Your patience is appreciated as our review process is rigorous and may take anywhere from 30 to 60 days.


Please fill out all the fields below:

Tell us about your product:
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Tell us about your company history:
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Tell us about your source of distribution:
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Tell us about your marketing plan:
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Contact information:
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