Looking for store information?
Find Your Store    

You must have Javascript enabled to use this form

Local Products Vendor Application

If you are a local producer and have an interest in partnering with us, please fill out the application below to the best of your ability. Our definition of local is anyone who produces or grows a product within 150 miles of any Price Cutter location.

Your Name

Business Name

Website URL

Phone Number    Fax Number

Email Address

Street Address

City    State    Zip

Sales Tax Number

Do you carry product liability insurance? Yes   No

Product Description

Product Pictures (Please attach up to three photos; JPG, PNG)



Vendor Category

100% Farmer   Value Added Producer   Artisan   All Natural   Non-GMO   Organic

Other (Please define below)

How long have you produced products for sale?

Where are your products sold currently?

Do you self-distribute or have a distributor? Yes   No

What is your suggested retail price?

What were your gross sales last year?

What percentage of retail sales?

What percentage of wholesale?

How much do you expect to sell in an average week? (In dollars)

What is your target demographic?

What sets you apart from other similar products?

Do you maintain an email list of customers or do you plan to? Yes   No (Will consider)

What platforms do you currently use to market your business?

Print   Email   Social Media   In-store

Other (Please define below)

Thank you for submitting an application.
A completed application does not guarantee an agreement. We may contact you with further questions.

Thank You