New Supplier-Vendor

Supplier Form

*Note: This inquiry is for NEW suppliers who are currently not doing business with GoRageous, LLC.
If you are an existing vendor and have questions, please contact your GoRageous, LLC Buyer.

GoRageous, LLC is not currently looking for Supplier or Vendors outside of the US and its Territories

Company Information:

Company Information:

Address: *

Primary Contact Information:

Business Information:

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What is your annual sales volume for:

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Who are your three largest competitors?

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Who are your top three U.S. customers, based on total sales volume,
for your product mix? (Listed from largest to smallest)?

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Will you provide free-of-charge samples of your product(s) to GoRageous, LLC. upon request? *

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Do you have, or would you be interested in, a special order program utilizing our in-store kiosks and websites through GoRageous™, with the ability to drop-ship/ship direct your products by piece to customers across the contiguous United States? *

Product Information:
Select Product Category
Check all product categories for which you are interested in becoming a supplier for GoRageous™.
DecorArtFloorcoveringFurnitureSurfacecoveringsHome & Office
Product Categories:
• Accessories: Bags, Jewelry
• Body: Soaps, Perfume, Lotions
• Clothing: cloths and linen
• Art: Paintings, Prints, Sculpture, Mirrors
• Garden: Lawn ornaments, Fountains, Gazing balls, Religious statues, Bird houses
• Music: Book, Sheet, Instruments, Instruments Accessories, not Furniture
• Flooring: Tile, Rugs, Mats
• Flooring Tools for installation
• Furniture: Furniture, Storage Furniture
• Lighting: lights, lamps
• Surfaces: not Flooring
• Surfaces: products Paint, products Wall_Vinyl, products Wall Tile
• Window: door blinds, redi shade, vertical kits, window tint & films, mini blinds
Home & Office
• Fun_Games: Game, Toys, Children Entertainment
• Home_Office Items: Kitchen, Bathroom, Storage
• Electronics
• Analog Items
Please provide a 250 word or less description of your products or services and how you would foresee being a valued vendor for GoRageous™ *

What is the brand name(s) you market your product(s) under? *

Are you currently selling any private label or controlled brand products to your clients? *

What is the (manufactured) country of origin for your product(s)? *

Additional Information:

By submitting this form, you are attesting to the validity and accuracy of the provided information and that you, as representative of your organization, are acting in the good faith of your organization to provide this information. Submission of this form does in no way create a binding partnership with your organization and GoRageous, LLC.

Please submit this form only ONCE. A copy of your completed form will be sent to the “primary contact email” address provided in this form for future reference. You will be contacted by a representative of GoRageous, LLC if more information is required or to set up a meeting.