Company Name:
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Name:
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Country:
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Mobile Phone:
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E-mail Address:
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Website URL:
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May we telephone you to discuss your requirements?
Yes
No
Email is Preferred Instead
Best time to contact you?
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Morning
Afternoon
Evening
Product Line or Type of Merchandise:
How many different items (skus) do you market?
How long have you been in business?
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Startup
Less than one year
2 to 5 years
Over 5 years
Where do you ship items?
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Select One
Domestic (U.S.)
International
Both Types
How many orders per month do you ship?
Please Select
To be determined
1 to 25
26 to 50
51 to 100
101 to 200
201 to 500
501 to 1,000
1,001 to 5,000
Over 5,000
Do you ship Business to Business(B2B) or Business to Consumer(B2C)?
Please Select
Business to Business Only
Business to Consumer Only
Both Types
How often do you require your orders to be shipped?
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Daily
Twice Weekly
Once Weekly
We have warehouses on both coasts. Which do you prefer?
Please Select
West Coast - Los Angeles, CA
East Coast - Boston, MA
Ship my order from both coasts
No Preference
How much warehouse space do you require in pallet equivalent (48” x 48”x48”)?
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Less than one pallet
2 to 10 pallets
11 to 50 pallets
Over 50 pallets
When will you be ready to start fulfillment services?
Please Select
As soon as possible
1 to 3 months
Over 3 months
Do you currently outsource your warehouse & fulfillment?
Yes
No
Why are you changing from your current fulfillment company?
Other information or comments:
How did you hear about Medallion?
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