Please fill in the following information about you and your company:
Name:*
Title:*
Company:*
Address:*
City:*
State:*
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Zip Code:*
Country:*
Phone:*
Email:
Web Site:
Fax:
How did you find out about us?
Please provide the following information about your warehousing needs:
Type of Warehousing:
Contract Warehousing Public Warehousing
Services:
Merchandise Storage Order Fulfillment Reverse Logistics
Please provide information on the packaging of the product you would like to warehouse:
Is product bar-coded?
Yes No
Average number of SKUs
Average inbound size
Average # of inbounds per month
How will product be received?
Pallet Case
If palletized ...
How many pallets will be received per month?
Pallet weight in pounds
Pallet size in inches (LxWxH)
If cases ...
How many cases will be received per month?
Case weight in pounds
Case size in inches (LxWxH)
Inbound receipts are (check all that apply):
Full TL Railcar Partial TL Other
Please provide information on the product you would like to warehouse:
Product Description
Are products hazardous?
If hazardous ...*
Hazardous class*
N/A Class 1: Explosives Class 2: Gases Class 3: Flammable/Combustible Liquids Class 4: Flammable Solids Class 5: Oxidizers Class 6: Poisons Class 7: Radioactive Materials Class 8: Misc.
Do you have MSDS sheets to send us?*
Please provide information on storage requirements:
Pallets/Product can be stacked ...
One high Two high Three high Four high Five high Six high Can be placed in racking
Average monthly pallet inventory for Hazardous Materials
Average monthly pallet inventory for General Commodities
Average monthly pallet inventory
Average monthly inventory per SKU
Average number of SKU's that will take up the most space
Please provide information on fulfillment requirements:
Inventory turns per year
Pick priority:*
Unit Pack Pallet FIFO Lot Number Batch Code Serial Number Other
Outbound orders shipped as ...*
Pack Out Unit Out Both
Average units per order:
Average lines shipped per order:
Orders processed monthly:
Pallets shipped per month:
Cases shipped per month:
Shipment Profile:
TL LTL Case Pick
Value of product:
per Case Unit
Orders received by:
Phone Fax Email
Would you like us to provide transportation?
If yes, origins and destinations:
Required hours of coverage:
Additional information and special requirements:
Please call us with any questions at
(563) 333-4588 (Greg Neipert)
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