Beverage Marketing Corporation
Survey of the Non - U.S./Canadian Beverage Industry
     
Please fill out all that apply.
     
CONTACT INFO
     
PHONE  
FAX  
E-MAIL ADDRESS  
WEBSITE  
     
COMPANY IDENTIFICATION
     
COMPANY NAME  
 STREET ADDRESS  
 CITY  
POSTAL CODE  
COUNTRY  
     
MAILING ADDRESS (IF DIFFERENT FROM ABOVE)
     
STREET ADDRESS  
CITY  
POSTAL CODE  
COUNTRY  
     
TYPE OF BUSINESS
     
NON-PRODUCING CORPORATE HEADQUARTER LOCATION  
BEVERAGE FILLING PLANT  
BEVERAGE DISTRIBUTOR  
     
PRODUCTS PRODUCED/DISTRIBUTED (check all that apply)
     
Fruit Juice Products  
Bottled Water  
Beer  
Wine  
Spirits  
Carbonated Soft Drinks  
Coffee  
Tea  
Milk  
Other(s)  
     
     
CHIEF OPERATING PERSONNEL THIS LOCATION
     
PRESIDENT  
CHIEF MARKETING OFFICER  
     
NAME  
TITLE  
     
NAME  
TITLE  
     
NAME  
TITLE  
     
NAME  
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NAME  
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NAME  
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NAME  
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NAME  
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NAME  
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NAME  
TITLE  
     
BEVERAGE BRAND NAMES PRODUCED/DISTRIBUTED THIS LOCATION
     
FRUIT JUICE/FRUIT DRINK BRAND NAMES  
BOTTLED WATER BRAND NAMES  
BEER BRAND NAMES  
WINE BRAND NAMES  
SPIRITS BRAND NAMES  
CARBONATED SOFT DRINKS BRAND NAMES  
COFFEE BRAND NAMES  
TEA BRAND NAMES  
MILK BRAND NAMES  
OTHER BRAND NAMES
(please specify product type)
 
     
     
PRODUCT TYPES PRODUCED/DISTRIBUTED THIS LOCATION
     
Bottled Water    
       
Still Water-Spring  
Still Water-Processed  
Sparkling Water  
     
Container Types:    
- Glass  
- Plastic  
- Can  
Container Sizes  
     
Beer    
Returnable Glass  
Non-returnable Glass  
Cans  
     
Wine    
Red  
White  
Sparkling  
     
Spirits
List all types (example: Brandy, Vodka, Whiskey
)
 
     
Carbonated Soft Drinks    
Flavors
list all flavors (example: cola, lemon-lime, guarana, ginger ale)
 
Package Type:    
Returnable Glass  
Non-returnable Glass  
Can  
     
NO. OF BOTTLING LINES THIS LOCATION
     
- HOT FILL  

(enter total)

- COLD FILL   (enter total)
- CARBONATED   (enter total)
     
IS THIS HEADQUARTERS OR SUBSIDIARY/DIVISION LOCATION?   H.Q.   SUBS.
     
(IF SUBSIDIARY/DIVISION ? GIVE HEADQUARTERS, NAME, ADDRESS, CITY, COUNTRY, POSTAL CODE AND TELEPHONE NUMBER BELOW)
     
HEADQUARTERS NAME  
 STREET ADDRESS  
 CITY  
COUNTRY  
POSTAL CODE  
COUNTRY  
TELEPHONE NO.  
     
EVERYONE PLEASE FILL OUT:
YOUR NAME  
YOUR TITLE