DATE:___________________________
CUSTIMER NAME: ______________________________________________________
BILL TO ADDRESS: _____________________________________________________
SHIP TO ADDRESS: _____________________________________________________
TELEPHONE NO: __( )________________FAX NO: ___( )___________________
CUSTOMER CONTACT FOR SALES SERVICE: ______________________________
FOR SHIPPING: _________________________________
1. DOES CUSTOMER HAVE RECEIVING DOCK? YES_____ NO_____
2. DOES CUSTOMER UNLOAD WITH FORKLIFT? ______ PALLET JACK?______
BY HAND? _____
3. DOES CUSTOMER REQUIRE APPT. FOR DELIVERY? YES____ NO______
4. ARE WE REQUIRED TO CALL BEFORE DELIVERY? YES____ NO______
5. ARE WE REQUIRED TO BUNDLE BOXES? YES____ NO______
6. ARE THERE SPECIFIC UNITIZING OR STRAPPING INSTRUCTIONS?
YES____ NO_____
7. DOES CUSTOMER REQUIRE SHIPMENTS ON WOODEN PALLETS?
YES____ NO_____
8. CAN WE GET A STANDARD HIGH CUBE TRAILER (13’9” HEIGHT) INTO
YOUR DOCK? YES____ NO_____
9. IF PRINTED, WHAT IS THE CORRECT CCMI INK NUMBER? _______________
10. WHAT ARE THE CUSTOMERS RECEIVING HOURS? ________AM-_______PM
11. STANDARD QUANTITY CANNOT BE SHIPPED 10% OVER / 10% UNDER?
YES____ NO _____
NOTE!! NEW CUSTOMERS CANNOT BE SHIPPED UNTIL THIS FORM IS
COMPLETED.