Product Submission

Thank you for your interest in Susan G. Komen for the Cure® and selling your product in Komen’s Promise Shop and throughout its Affiliate Network. In order to evaluate your proposal, we ask that you complete either the online form below or print the downloadable form and forward the information requested to Merchandise: New Product Idea, 5005 LBJ Freeway, Suite 250, Dallas, TX 75244. Please include a sample of your product. However, if a sample is not available, a color photo or catalog is acceptable. Samples cannot be returned.

Upon receipt of the information, we will evaluate your proposal through a committee of Komen associates and volunteers that meet periodically. Komen for the Cure receives many product ideas from a variety of sources. It is very difficult to include many of these ideas in our Promise Shop; however, we do look at each product to determine if it meets our strategic objectives. Please note that Komen for the Cure can only review non-confidential product ideas and proposals. We do not accept any legal obligation (whether confidential, compensation or otherwise) with respect to any ideas, concepts or materials submitted to us. We also specifically reserve the right to implement similar ideas in the future without restriction or obligation.

Due to the volume of requests we receive, we might not be able to get back to you immediately. After we complete our review, we will contact you with the outcome.

Thank you for considering Komen for your product and sharing our promise to save lives and end breast cancer forever. We look forward to reviewing your item. For more information on Komen for the Cure, breast health and breast cancer or to view our products, visit our website, www.komen.org

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	Vendor Information

Company Name:
Contact Name*:
Email*:
Address*:
City*:
State*:	-------Select State------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code*:
Phone Number*:
Fax Number:
Toll Free Number:
Please write a brief description of your company/organization:

	Product Information

Product Name or Idea*:    Product Item No: Wholesale Price*:$    Suggested Retail Price*:$

Detailed Product Description; ie color, size, dimensions, use of product*:

Do you have a minimum order quantity?:

Do you have the capability to slightly change the product?:

Do you have products for sale with any other non-profit organization?:

Are you currently selling this product?:

If so, where?:

Please attach Product Photo (File size should be less than 1 MB):