MIDWEST CAN COMPANY
10800 Belmont Ave., Franklin Park, IL 60131P: 708.615.1400 T: 800.548.7513 F: 708.615.0381.6
SALES QUESTIONNAIRE
Date of Inquiry
/
Month
/
Day
Year
Date
Company Information
Company Name
Street Address
City
State / Province
Postal / Zip Code
Contact Info
Your Name
Title
Phone #
Email
example@example.com
Primary business activity
Secondary business activity
Product inquiry
ex: model 5610
Source of reference
ex: website, google, referral
Timeframe product needed
Number of locations
Primary customers
Current provider/vendor
Yearly quantities/sales
Comments:
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