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| MANUFACTURER'S NEW ITEM PRESENTATION FORM (Per Item if applicable) | |
| Manufacturer Name:: | Date Presented: |
| Please attach a vendor marketing plan inclusive of sales and marketing aids, price off, special advertising, education, etc. | |
| Part 1. Merchandising Information | |
| Item Name: | |
| Item SKU Number: | Item Size: |
| Item Description: | |
| How long on the Market? | |
| When is this item Available to ship? | |
| Why will this fits in our current prodcut mix? | |
| What item(s) will this be targeted to repalce or will be discontinued? | |
| What are comparable items being carried in the marketplace? | |
| Part 2. Cost Information | |
| Distributor Cost: | |
| Suggest Retail Price: | |
| Flexhair Cost: | |
| Introductory Cost: | |
| Special Promotion/ Deals Schedule Over 6-12 Months: | |
| Month: | Deal Cost: |
| Type of Promotion: (i.e., Price Off, B1G1 Free, Coupon, Combo Pack, etc.) | |
| Part 3. Regulatory Information | |
| THE MANUFACTURER IS SOLEY RESPONSIBLE FOR THE APPROPRIATE PRODUCT CLAIM SUBSTANTIATION AND LABELING OF THIS PRODUCT, INCLUDING, WITHOUT LIMITATION, USE DIRECTIONS, INGREDIENT INDICATIONS/FORMULATION, AND PRECAUTIONARY STATEMENTS OR WARNINGS AND SYMBOLS REQUIRED. | |
| Category of Product : (be specific, ex: hair spray, mousse, shampoo) | Pump/Aerosol? |
| This Item is a:1.___Cosmetic, 2.___OTC Drug, 3.___Pesticide, 4.___Medical Device, 5.___Electrical Appliance, 6.___Hard Goods | |
| 1. Cosmetic: (ex: shampoo, conditioner, mascara, hairspray) | |
| FDA Cosmetic Establishment Registration# | |
| FDA Cosmetic Product Registration# | |
| VOC Content:_______________%VOC_______________%HVOC_______________%MVOC | |
| Item is VOC regulated by: | |
| EPA (Y/N) | State (Fill in State) |
| 2. OTC Drug: (ex: sunscreen, anti-dandruff, acne treatment) | |
| FDA Drug Establishment Registration # | |
| FDA Drug Registration # | |
| 3. Pesticide: (ex:barbicide,disinfectant, insect repellent) | |
| EPA Registration # | |
| State Regstration # (include state, Attach a list of states if necessary) | |
| 4. Medical Device: (ex: sunglasses, LED/laser device) | |
| FDA Device Establishment Registration # | |
| FDA Device Registration # | |
| 5. Electrical Appliance: (ex: hair dryer, hair iron, hair clipper) | |
| Is the item RoHS compliant? (Y/N) | Is the item NRTL certified (ex: UL, ETL, etc.)? (Y/N; if yes, list which) |
| 6. Hard Goods: (ex: hair brush, candle, jewelry, glove) | |
| Does the item contain Prop 65 chemicals? ex: lead in jewelry, lead in candle wick, phthalate in vinyl gloves, etc. (Y/N; If yes, list chemicals) | |
| Does the item contain Prop 65 warnings? | |
| For candles: Do they contain required warnings? | |
| Part 4. Hazardous Material Information | |
| Is the product regulated for transportation (Hazardous or ORM-D)? Y / N | |
| * This form must be filled out for all products offered. If the product is not regulated for transportation, then the remaining portions of the form do not apply (except for aerosols) | |
| UN or NA Number: | |
| Proper Shipping Name | |
| Packing Group/Unit | Unit Weight (in Fl. Ounces) |
| What method of Transportation? | |
| Ground Transportation Y/N | Air Domestic (ORMD-Air) Y/N |
| Hazard Class (Primary) | Hazard Class (Secondary) |
| Aerosols: Please provide exact name and concentration of propellants: (Product must have appropriate symbols, warnings and units of measure. ) | |
| Base product with flammable or non-flammable propellants (Percentages based on weight of the product) | |
| Check One: | |
| ___ Level I Maximum of 25% water miscible or non-miscible flammable products - ( i.e. 75 - 100% non-flammable products) | |
| ___ Level II 25 - 100% water miscible flammable products; 25 - 55% non-water miscible flammable products (remaining 45 - 75% is non-flammable product) | |
| ___Level III Greater than 55% non-water miscible flammable products | |
| ON BEHALF OF THE MANUFACTURER NAMED ABOVE, I CERTIFY THAT ALL THE INFORMATION SUBMITTED IS TRUE AND CORRECT. | |
| Signature: | Date: |
| Print Name: | |