Vendor Application  ·  New

Bring Local Products to Your Grocery Store Shelves

Let local farms and makers apply to sell in your grocery store, sharing product details, certifications, pricing, and shelf placement proposals in one form.

Peach theme
formbuilder.ai/f/grocery-store-local-product-vendor-application-shelf-placement-proposal-form
Grocery Store Local Product Vendor Application & Shelf Placement Proposal Form
Business / Brand Name
· · ·
Primary Contact Name
· · ·
Email Address
· · ·
Submit

This grocery store vendor application and shelf placement proposal form gives retailers a simple, organized way to evaluate new products from local farms, bakeries, and small-batch producers. Vendors share their business and contact details, farm or production facility address, product names and package sizes, product category, key ingredients, certifications, storage requirements, and shelf life. Your buying team gets everything it needs to judge quality, compliance, and fit at a glance.

Designed for independent grocers, co-ops, specialty food markets, and regional chains, the template helps you grow a strong local assortment without drowning in emails and loose paperwork. A dedicated pricing and shelf placement section captures wholesale cost per unit, suggested retail price, preferred shelf placement, and promotional support. Vendors also write a proposal explaining target shoppers, requested shelf space, and why the placement will drive sales. Before submitting, they can upload supporting documents and acknowledge your vendor agreement.

Using an online form standardizes every pitch, making it easy to compare margins, spot certification gaps, and plan category resets with confidence. Customize the fields to match your receiving requirements, share the link on your website or with suppliers directly, and review submissions in one central place. The result is a faster, fairer vendor onboarding process that helps you discover great local products and build lasting partnerships with your community's growers and makers.

4 Pages
19 Questions
~6min To complete
Free Included on every plan
Field types Short Text ×2 Dropdown ×2 Long Text ×2 Multiple Choice ×2 currency ×2 Full Name Email Phone Address Single Choice number File Upload termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Business & Contact Information 5 questions
Business & Contact Information
1 Business / Brand Name * Short Text
2 Primary Contact Name * Full Name
3 Email Address * Email
4 Phone Number * Phone
5 Farm or Production Facility Address * Address
Page 2 Product Information 6 questions
Product Details
1 Product Name(s) & Package Size(s) * Short Text
2 Product Category * Dropdown
3 Product Description & Key Ingredients * Long Text
4 Product Certifications * Multiple Choice
5 Storage Requirements * Single Choice
6 Shelf Life (in days) * number
Page 3 Pricing & Shelf Placement Proposal 5 questions
Pricing & Shelf Placement Proposal
1 Wholesale Cost per Unit * currency
2 Suggested Retail Price (SRP) per Unit * currency
3 Preferred Shelf Placement * Dropdown
4 Promotional Support You Can Provide Multiple Choice
5 Describe your shelf placement proposal, including target shoppers, requested shelf space, and why this placement will drive sales * Long Text
Page 4 Documents & Agreement 3 questions
Supporting Documents & Vendor Agreement
1 Upload Product Photos, Sell Sheet, Business License, Food Safety Permits & Certificate of Insurance * File Upload
2 I certify that all information provided is accurate, that my products comply with all applicable federal, state, and local food safety and labeling regulations, and I understand that submitting this application does not guarantee shelf placement * termsandconditions
3 Authorized Representative Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.

  • Ready-to-use structure — pre-configured fields out of the box
  • Applied "Peach" theme — fonts, colors, and layout already set
  • Mobile-responsive — works on every device without extra configuration
  • Fully editable with drag-and-drop — change anything in seconds
  • Included on every plan — try it free for 7 days

Use this template

Included on every plan. Open in the editor, customize, and publish in minutes.

Use This Template Free Preview the form
Category Application
Subcategory Vendor Application
Theme Peach
Badge New
Price Free
Coding required None

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