REQUEST FOR QUOTE FORM

Contact Information
Fields in red and marked with an "*" are required to submit the form.

Name*
Company*
Phone*
Fax*
E-mail*
Address*
City*
State* Zip*
Inbound
Average Receipts per Month*
 Products Handled* Packaging (Case, Drum, etc.)
Pallets per Inbound*
Cases per Pallet
Cases per Inbound
Average lbs. per Case*
Dimensions per Case*
Units per Case
Average SKUs per Inbound*
SKUs per Pallet
Percent Received LTL
Percent Received Floor Loaded
Percent Received Rail
Inventory
Cases per Pallet in Inventory
Average Cases On-hand
Units per Case
SKUs in Inventory
Estimated Inventory Turns
Pallet Size
Are Pallets Stackable?*
 Yes No
If Pallets Stackable, How High?
(Enter N/A if not applicable)*
Apporximate $ Value of Inventory?
Outbound
Average Orders Per Month*
    
Smallest "Pick" per Order?
(Eaches, Cartons or Pallets)		    
Average # of SKUs per Shipment*    
Average # of
per Shipment
Percent Shipped LTL
    
Percent Shipped UPS    
Percent of Orders via EDI    
Percent of Orders via Fax/Mail
    
Average $ Revenue per Order
    
Labeling/Stenciling Required
 Yes No Percent Same Day Shipments*
Shrink Wrap Required
 Yes No Percent 24 Hour Shipments*
Serial Number Required
 Yes No Percent Will Call?
Does product have MSDS sheets
 Yes No Seasonality?

Description of Services (returns, kiting, assembly, special packaging, etc.)

How did you learn about Pacer Distribution Services,Inc. ?*

Fields in red and marked with an "*" are required to submit the form.

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