| Please provide the following contact information: |
| Name: |
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| Title: |
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| Organization: |
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| Street address: |
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| Address (cont.): |
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| City: |
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| State/Province: |
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| Zip/Postal code: |
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| Country: |
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| Work Phone: |
Ext. |
| FAX: |
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| E-mail: |
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| Please provide the following product information: |
| Warehouse Location: |
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| Commodity: |
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Type of Container
(Bag, Carton, Etc.): |
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Product Dimensions
(L x W x H): |
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| Weight: |
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| Units Per Pallet: |
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Pallet Dimensions
(L x W x H): |
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| Inventory Levels: |
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| Average # of orders per month: |
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| Estimated Turns Per Year: |
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| Total Number of SKUs: |
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| Able to stack: |
pallets high. |
| Comments: |
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| Please provide the following shipping information: |
| How is product shipped to you? |
| Rail |
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Truck |
| Pigs |
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Container |
| Palletized |
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Slip Sheeted |
| Clamp |
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Floor Loaded |
| How can we expect to receive orders? |
| Phone |
Fax |
| EDI |
Other, please explain: |
| How would you like your product shipped? |
| Truck |
Customer Pickup |
| Rail |
Parcel Shipping |
| What type of reports would you require? |
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| |
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| Select any of the following special services that you would require: |
| Shrink Wrapping |
Marking |
| Expiration Date |
Same Day Orders |
| Pick Pack |
Lot Control |
| Labeling |
Pallet Exchange |
| Temperature Controlled Storage |
Other, please explain: |
