Submit a Non-Food DPIS Ready to request? You have come to the right place. Get Started Corporate office 9520 Towne Centre Drive, Suite 120 San Diego, CA 92121 1-858-581-8700 Fax: 1-858-633-4846 Submit a Non-Food DPIS FORM CONTACT INFORMATIONName*Email* Vendor Name*Broker Name*Phone #*Fax #WHERE IS THIS ITEM DISTRIBUTED?* San Diego Los Angeles Bay Area Northwest Midwest Northeast Texas Southeast Puerto Rico PRODUCT INFORMATIONProduct Name*Costco Item #*Costco Department*11-Tobacco12-Candy13-Food14-Sundries16-Liquor17-Cooler/Refrig18-Frozen19-Deli20-Health & Beauty21-Office Supplies22-Tires23-Hardware24-Major Appliance25-Automotive Accessories26-Sporting Goods27-Garden-Patio28-Toys/Seasonal/Software29-Home Improvement30-Luggage/Accessories31-Women's32-Housewares33-Small Elec/Appl34-Domestics36-Media37-Photo-Camera38-Furniture39-Men's Apparel44-Road Show61-Meat62-Bakery63-Service Deli64-Fish65-Produce70-Photo Finishing88-Food Court93-Pharmacy94-Optical96-Hear Aid CenterPack*Size of One Sell Unit*Unit Cost:EVENT INFORMATIONEvent Samples*PurchaseDrop-shipTalking EventMay we purchase samples if the drop-shipment is not received 24 hours prior to the event?*(The event will be canceled and rescheduled if authorization is not given)YesNoHow many event servings are there in each sell unit?*Will an event kit be provided?*YesNoEvent Kit/Samples(Describe contents of event kit and samples)May event be performed without the kit?*YesNoDoes your product contain allergens?*(examples: peanuts, oils, nuts, shellfish, etc.)YesNoIf Yes, please list all allergens*Product Information:Tell us about your brand/productEvent Instructions:Give detailed information only; do not list "see instructions on package"Product Features:Please provide 3-4 key product features; Such as: What makes your product different in quality, uniqueness, convenience and/or how it is manufactured that makes it better.Key Selling Points:Key Selling Points are an important tool used in selling your product. They are the words you want the Sales Advisors to say. The more information you provide below, the more we will give to members to sell your product. Example: This product is safe and biodegradable - great for regular, oil or sensitive skin - will save you money if you use this product to store cheese, vegetables etc. Are you a costco member? Give us your feedback!