Supplier Special Pricing Information

Please use this form to detail any special pricing arrangements offered to The Vernon Company. For example: "Vernon receives EQP, or EQP less 5%, on all products in our line. Effective dates 1/1/20 to 12/31/20." Vernon regularly reviews all supplier sales, including our gross profit before and after commissions. We work very hard to promote the suppliers that are the most profitable to Vernon!

Your Name*
First Last
Supplier Name*
ASI # (optional)
PPAI # (optional)
Special Pricing Details*
Effective Start Date*
Date Format: MM slash DD slash YYYY
Effective End Date*
Date Format: MM slash DD slash YYYY
Customer Service Contact
Customer Service Phone#
Customer Service Email
Proof Policy
Sample Policy
Self-Promo Policy
Additional Information
Who to Contact? If you have questions or concerns please contact Vicki Palm, Director of Marketing. Email: vickip@vernoncompany.com Phone: 641-792-9000 ext. 8145
CAPTCHA
Number