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Contact Information:

Name:*

Phone:*

Title:

Fax:

Company:

Email:*

Address:

Website:

Product Information:

Product Type:

Hazmat (Y/N):

Packaging:
(Case, Drums, Bags)

Inbound Information:

Inbound Loads Received Via:

Inbounds are Loaded:

% Truck:

% Pallet:

% Rail

% Slip Sheet:

% Container:

% Floor Loaded:

Average Inbounds per Month:		Dimensions per Case:
Pallets per Inbound:		Units per Case:
Case per Pallet:		Average Weight per Inbound:

Storage Information:

Average Monthly Inventory:

Pallet Dimensions:

Cases:

Width:

Pallets:

Depth:

Weight:

Height:

Estimated Inventory Turns:		How High?:
Cased per Pallet in Inventory:		Approximate $$ of Inventory:
Pallets Stackable in Bulk (Y/N):

Outbound Information:

Outbounds are Shipped:

Truckload:

LTL:

Small Package:

Average Orders per Month:		Percent Case Pick:
Average Pieces per Order:		Percent of Orders Req EDI:
Average Weight per order:		Percent of Orders via Fax/Email:

Other Information:

Labeling/Stenciling Required :		Percent Same Day Shipment :
Shrink-Wrap Required :		Percent 24 Hours Shipment :
Serial Number Required:		Seasonality:
Does Product have MSDS

Description of Special Service (Kitting, Returns, Assembly, Special Packaging, etc.)

Comments or Questions?