Customer Inquiry English Spanish
 
SUPPLIER ITEM ALLOWANCE FORM
ATTENTION: FOUR WEEKS ADVANCE NOTICE IS REQUIRED ON ALL ITEM ALLOWANCES
 
SUPPLIER:
MANUFACTURER/BROKER:
CATEGORY MANAGER:
PROCUREMENT MANAGER:
SIGNED:
PHONE:
DATE:
E-MAIL:
Use this form for all per case/unit allowances and/or special allowance events. Use SV PA Form for program Promotions all billings will be deducted from your first order upon completion of performance, unless an Invoice is requested. Invoices are due as indicated on the face of the invoice or SUVIANDAM will deducted Unpaid balances from a merchandise payment. SUPPLIER expressly agrees to the terms and conditions of SUVIANDA PURCHASE ORDERS.
VENDOR#  
ITEM ALLOWANCE#  
ORDER DATES
(BASED ON LEAD TIME)
TO
SHIP/ARRIVAL DATES
(CIRCLE ONE)
TO
SUGGESTED PERFORMANCE WEEK#'S
 
OFFICE USE ONLY
RECEIVED DATE: INPUT DATE:
SIGNATURE APPROVES PROGRAM PERFORMANCE
CM/PM SIGNATURE
 
SV ORDER#
UPC NUMBER(Full 12 digit UPC)
ITEM DESCRIPTION
ITEM SIZE
CASE PACK
CURRENT CASE / UNIT LIST COST
Allowance#1(off inv/Billback/Deduct)
PA CODE
Allowance#2(off inv/Billback/Deduct)
PA CODE
Allowance#3(off inv/Billback/Deduct)
PA CODE
NET CASE COST
NET UNIT COST
AD RETAIL
AD WK#
TPR RETAIL
TPR RETAIL START DATE
TPR RETAIL END DATE