Integrated Retail Proposal Form

Please provide us with your business and top 10 product information and provide some basic information so we can understand your fulfillment capabilities by completing the form below. We will review this preliminary information to identify your eligibility to participate in this program. If you are approved for the program, we will contact you directly. Please make sure that information you are providing below are accurate. We thank you for your participation.

NOTE: Please limit product listing to your best 10 products





Business Information

*Required fields


Pre-qualification Questionnarie


 Yes No


 I Agree


 I Agree


 Yes No


 Yes No


 I Agree


 Yes No


 I Agree


 I Agree


 I Agree


 Yes No


 I Agree


 Yes No

Product Information

(List only your top 10 products)

# Brand Product Name Product Description Specification MSRP Current Retail Price Cost to Sears
1
2
3
4
5
6
7
8
9
10