Contact Name:

Company:

Address:

Address (line 2):

Telephone/FAX:

Email:

Type of products:

Number of stock keeping units(line items):

Packaging (type of containers):

Average weight per case:

Average cube per case:

Is lot number or serial number control needed?

Average value of product per case?

Average inventory (to be stored on a monthly basis)

a. Number of cases:

b. Total weight:

c. Number of pallets:

Can pallets be stacked?

YesNo

If yes, how many high?

2345

Total square feet required:

Is racking or shelving required:

Inventory turns per year:

Will your product be shipped to our warehouse via:

truckrail carpiggyback trailercontainer

How many stock shipments per month:

Is product floor loaded:

palletizedslip sheetsothernot floor loaded

If other, please specify:

a. If palletized or in slip sheets, what are the dimensions of the unit load?

Average number of SKU's per shipment:

Average number of cases per shipment:

Average weight per shipment:

Average number of orders to be shipped monthly:

Average per order: weight

Average per order: cases

Average per order: SKU's

Do you require pick-and-pack services?

yesno

If yes, what percentage of outbound orders require repacking:

What percentage of your orders are shipped UPS:

What is your LTL motor carrier freight classification?

If other, please specify:

Will Bill of Lading be prepared by our warehouse:

Describe rate basis desired (e.g., rate: per case, per hundredweight, per cubic foot, percentage of sales, other)

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