New Vendor Request

Form # F14987  (Canceled) created by Mary DeVries on 04/14/2024

SpartanNash Contact(s)

Is this form for an MDV Product Vendor? No
Is this form for a Caito Product Vendor? No

Vendor Profile


Vendor Type:

If "Other", describe:

Vendor Number:


DSD Vendor:

Vendor Name:

Remittance Address:

Corporate Address:


If "Other", describe:

Please submit a completed W9
W9 Form Link

EMAIL the COI document to your SpartanNash Contact

Company's Payment Term Policy
The Company's policy is to pay vendors no earlier than 45 days from the invoice date unless the vendor provides an early pay discount or is an exception vendor. Exception vendors are defined as vendors that provide product under the PACA and PASA laws, utility vendors, tax jurisdiction vendors (i.e. income tax, property tax, cigarette tax, etc.) or vendors where the terms are listed in a written contract. If you believe the vendor is an exception vendor, please attach documentation to this form indicating such. If a vendor does not provide an early pay discount or is not an exception vendor, the terms for the vendor will be set up as N45. If you believe the Company's default payment terms of N45 should be overridden, please attach email approval to this form from the Vice President of Operations Finance for product vendors or the Vice President of Finance for service and supply vendors (non product).

Payment Terms:

(please select)

Payment Type:

Accounts Receivable Contact:

Accounts Payable Contact:

Phone Number:

Email Address:

Multistore Vendor(Corp):

If "yes",

Minority Vendor Specific Information


Minority Vendor:

Previous Vendor Information

Has this vendor done business with SpartanNash under another name or vendor number?

Previous Name:

    Previous Vendor Number:




        Specific Person:

        Scott Herda/Minneapolis/NFC;Lori A Spencer/Minneapolis/NFC;Nou Vang/Minneapolis/NFC;Erik T Vegoe/Minneapolis/NFC



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        Edit History



        Revised by

        Date / Time


        Description of Change


        Mary DeVries
        Mary DeVries

        03/03/20 09:31 AM
        04/01/20 09:51 AM


        form has been created
        form canceled