Dropship Vendor Application & Fulfillment Survey

20% of survey complete.

Who is ShopHQ?

As the premium lifestyle network in electronic retailing, ShopHQ promotes a wide variety of product categories to its customers, who are primarily affluent, sophisticated, and loyal shoppers. Our merchandise categories include jewelry & watches, consumer electronics, apparel, health & beauty items, home & garden, collectibles, and more. ShopHQ programming is broadcast into approximately 87 million cable and satellite households. ShopHQ.com is also a key destination shop on the web, capturing a growing segment of the online market and extending its accessibility to mobile platforms.

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1. Name of the company you represent:

Company Name

dba (if applicable)

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2. Primary product category this company supplies:

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3. Address & Contact Information for your company:

Address 1: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code: *

Country: *

Email Address: *

Phone Number: *

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4. Please provide Operations contact information for the individual at your company who can be reached to discuss the answers to this survey below:

Contact Name:

Organization Title/Role:

Email Address:

Phone Number:

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1. Name of the company you represent:

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2. Primary product category this company supplies:

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3. Address & Contact Information for your company:

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4. Please provide Operations contact information for the individual at your company who can be reached to discuss the answers to this survey below:

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5. Vendor Type: