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New Partner Questionnaire Updated 2.24.2020
New Partner Questionnaire Updated 2.24.2020
Please complete the questionnaire below and return it to Gail.Glenister@energizer.com at your earliest convienence.
Please make sure to answer all the questions on this form so we can get your inquiry routed to the correct area within
our company. An incomplete form will delay the qualification process.
3. Please specify what specific Energizer Products you are interested in purchasing along with estimated annual
volume.
4. Please select any other Energizer Brands you are currently purchasing
Energizer
Eveready
Rayovac
Handstands (Lexol, Eagle One, Refresh your Car)
Calscents
Armorall
Nufinish
5. In what setting will the products be sold? Please check all that apply.
Retail
Industrial
OEM
Website– Please specify website address: ________________________________________
If you selected Website, please read our Ecommerce Policy below before continuing:
Energizer does not authorize its customers located in the United States or Canada (each a “Customer”) to resell products purchased
from Energizer (the “Products”) on any website, application, or other online point of presence (collectively, the “Internet”) unless
expressly appoved in writing by Energizer. The Internet includes online marketplaces, such as Amazon.com, Walmart.com, and
eBay.com, and any website owned or operated by the Customer.
Absent such approval from Energizer, Customer agrees it will not sell Energizer products on the Internet. If Customer is interested in
approval to sell Energizer products on the Internet, Energizer will provide further information later in this new customer intake
process.
Please note that approval to sell online is conditional on your credit approval and any other approvals required by
Energizer.
I have read and agree to Energizer’s Ecommerce Policy ___________ Initial here.
Energizer Holdings, Inc. • 120 N. Commercial St. • Neenah, WI 54956
800 426 8268 tel • 920 969 2970 fax
6. Please check one of the following options:
___ I acknowledge and agree that I will only sell the products within the United States.
___ I intend to sell the products outside of the United States in the following location(s) and to the following
customers:
_____________________________________________________________________________
Please describe the manner in which the customers will be using the products (i.e., end user; resale within
foreign country):
_____________________________________________________________________________
7. Additional Comments:
Acknowledgement: You acknowledge and agree that all sales of Energizer products (inclusive of all Energizer brands) are
subject to the terms of sale attached hereto (as updated by Energizer from time to time and available here:
https://www.energizerholdings.com/company/partners-suppliers/customer-terms-conditions). You represent and
warrant that the information you provide is accurate (a) as of the date of this questionnaire, (b) as of the date you
purchase the products, and (c) during the time in which the products are in your possession. Should any information on
this questionnaire change after the date hereof, you must contact us immediately.