Contact name:

Email:

Position/Title:

Business/Corporation:

Street Address:

City: State: IL AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code:

Telephone:

Fax Number:

Product Information

Describe your product(s):

How many SKU's (items):

How many turns per year?

Are your products seasonal? Yes No

Indicate minimum and Maximum pallet levels:

Average value per pallet:

Weight of a typical pallet:

Maximum pallet stacking height:

Cases per pallet? Or average case size?:

Weight of each unit?

Do you require lot number control?: Yes No

What freight class?:

Is the product hazardous? If so, what classifications?:

Fulfillment Options

Do you need custom Barcodes made? Yes No

What is the average number of orders shipped via UPS/Fedex?

What is the average order size in weight?

What is the average number of lines per order?

Will your orders be sent via E-mail, FAX, or other?:

Will you have customer pick ups, and how often?:

Can your company e-mail us "flat files"? Yes No

Do your orders need to be shrink wrapped? Yes No

Do you need repackaging?: Yes No

Are there any special requirements that your company may have?