Vendor's Application Form
Note: Information marked with(*) is must be given. You may be rejected for not filling the blank.
Company Information
* Type of Ownnership
Individual Corporation Partnership
* Company Name
* Legal Name
* Bussiness Number * G.S.T Number
* Address
* City / Town * Province
* Postal Code * Phone
* Name of Contact FAX
Web Address * Email Address
Please indicate which name will be used to show on the cheque
Company Name Legal Name
Description of your Company
Please put a check mark(s) on appropriate box(es):
* Type of Business
Manufacturer Wholesaler Retailer Constuct Other:
* Type of Product
Grocery (ex. chips, cookies, and dried goods)
Frozen / Re-fridge Goods
Vegetables / Fruit
Processed Goods (ex. side dish, other material which is cooked, boiled, baked, etc...)
Home Hardware

Manufacturer warranty
If you are selling Consignment Products, seller must deposit (refundable) amount of 10% of monthly sales.
If you are selling directly, you must deposit (refundable) amount of 10% of sold goods to Galleria Supermarket.

Do not need warranty

Other :
Years of your Business   (yyyy/mm/dd)
Years of running Business   years
* Briefly explain to us about goods or services your company will provide: ˇéDownload (Product List)
Please specify if there is special item or services that your company would like to provide (optional):
Annual Expected Purchasing Amount(Galleria)  
Annual Sales Expected Amount(Vendor)  
Payment Terms
* Payment Terms
* Would you like your cheque to be
Pick up from Galleria Supermarket
Mailed - Please refer Lost Cheques under Terms of Agreements for details.
Courier - Payment will be charged to Vendor.
Term and Agreement
By signing this application form you are agreed that all the information collected is true and agree term and conditionsthat may affect in the future. Please note that purpose of this term and agreement is not to create any benefit for anycompany, but to avoid conflict that might occur which can bring harm to both buyer and seller.
General Agreements
In case of address change or business name, please notify us directly by sending us mail or fax of:
  - New Vendor's application Card
  - Proof of your company's changed address or name (copy of Master Business License)
  - Signature from Authorized Personnel from Galleria and Vendor.
In case of taking over business, please notify us directly by sending us mail or fax of:
  - New Vendor's application Card
  - Proof of taking over (copy of Master Business License of new vendor showing)
  - Signature from Authorized Personnel from Galleria and Vendor.
Lost / Fault issued cheques
Please be advised that you are responsible for lost or fault issued cheques. If you loss your cheque and has to be reissued, you must pay $25 administration fee which will be deducted from the total amount to be received. In case ofmisprint of old address or sent to wrong address and you haven't sent us the new addressed vendor's application form, itis your responsibility to collect the cheque. Otherwise you must pay $25 administration fee of $25 as well.
In order to be paid in proper term and to avoid for late payments, please note that our company requires statement of theinvoices which has been issued. Also it is agreed and understood that if vendor sends statement late or if it is incorrect asit is stated on the statement with the invoices, we will not be responsible for late cheques and will not be charged for anylate payment penalty. We might hold payment until it's been corrected.
Return Policy
Vendor must provide buyer with fresh product as possible and buyer has right to return goods that has been altered ordefected without any deduction from the purchase price. It is also agreed that buyer may return the goods if life time ofthe product is not reasonable enough to sell in terms of time. Unless it has been agreed and has written document, all thegoods that are returned will be compensated without any deduction or penalty.
Buyer must return the altered and defected goods within * days otherwise must be agreed with the vendor in orderto return goods. Goods that are returned after the day above mentioned needs to have agreement from the vendor toreturn. Goods that are defected or been altered after it was received will also need to agreement with both buyer andvendor.
From time to time, Galleria Supermarket will access clients e-mail addresses for special promotions and announcements. To be included in this program, please check this box:(If you do not wish to be included, please leave it as blank.)
If at any time you would like to be removed from the either mailing list, please contact us at 905-771-1474 or send an e-mail to (Please put ˇ°REMOVEˇ± on the subject line on your e-mail)
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