沃尔玛供应商(申请)

RETAIL LINK INTERNET FORM VENDOR FACT SHEET

PLEASE PRINT LEGIBLY

EMPLOYMENT VERIFICATION

FOR ACCESS TO WAL-MART RETAIL LINK Date: ___________________

Attention: Human Resources Dept___________________(Company Name)

Please complete the form below and fax back to 479-277-5755.

IMPORTANT: The information requested below is REQUIRED for access to Retail Link. All users will be required to submit the following information to have access to Retail Link. Your Personnel/Human Resources Dept must sign this form. This information is requested to process:

New Set-up ___ Additional User ___ Site Admin change ___ Verify existing user ___

1 Select your relationship with the company named below.

Company Name_______________

__ Employee

__ Employee of Parent Co. (Parent Co.

name_______________________)

__ Distributor

__ Licensed/Royalty goods

__ Broker

__ Manufacture’s Representative

__ Third Party Consultant

__ Vendor Services Representative

2 Please put in the individual’s name and e-mail address.

Individual’s Name:

__________________________________________________

Individual’s E-mail Address:

___________________________________________

3 Have your Personnel/Human Resources Dept fill out this section:

This person listed above is an employee of the Company listed above.

Yes_____ No_______

Printed Name of Personnel/Human Resource

Signature of Personnel/Human Resource

PLEASE PRINT LEGIBLY. IF WE CAN’T READ THE FORM, YOUR ORDER WILL BE

DELAYED.