Promotion Request

If items purchased through wholesaler, select appropriate wholesaler.

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Promotion Details

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Promotion Type

Check All That Apply

If Applicable, must be a Thursday

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Billing Details

If bill to vendor is not listed or no billing is required, select 'No Billing'. If Bill To Broker/Vendor is not listed and there is billing, make note in the billing comments and supply the appropriate billing email.

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If bill to email is different than the email listed under the broker/vendor rep email, please list that here.

If you have any other comments on how this should be billed out, please make your notes here (i.e. Invoice Description to ensure billing is paid in an efficient manner).

Deduct Option*

Berkot's Super Foods will initiate a deduction through Alliance Retail Group or the distributor if you prefer. In order to be eligible to deduct through Alliance, you must be an AWG vendor and have an account with Alliance. All payment must be received within 45 days or we will auto deduct from the 2 options listed.

Deduction Clause I understand that if this is not paid within 45 days of due date, it will be automatically deducted through alliance or your distributor. Check this box to agree to these terms. Late Fee Assessment A 5% Late Fee will be assessed on the invoice total if payment is not received within 45 days of the invoice date. By Submitting the attached form, you are agreeing that the pricing submitted is accurate and will be the correct price that Berkot's Super Foods receives. if Berkot's Super Foods does not receive this pricing, I, a representative of the above vendor authorize Berkot's Super Foods to deduct from upcoming payments. By checking the box, you agree to the contract and terms listed.

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