Beverage Marketing Corporation
Contract Packing Directory Questionnaire
     
Please fill out all that apply.
     
COMPANY INFORMATION
     
  COMPANY NAME:  
  ADDRESS:  
  CITY:  
  STATE:  
  ZIP:  
  COUNTRY:  
  PHONE:  
  FAX:  
  E-MAIL ADDRESS:  
  WEBSITE:  
     
PERSONNEL:
     
 
First Name
Middle Initial
Last Name
Suffix
Title
Person 1
Person 2
Person 3
Person 4
Person 5
 
BEVERAGE TYPES
 
Alkaline Cocktail Mixers Frozen Concentrates Kombucha Smoothie Base
Apple Cider Vinegar Coffee Fruit Beverages Liqueurs Smoothies
Beer (Non-alcoholic) Coffee Creamer Fruit Drinks Low Acid Beverages Sparkling Water
Beer/Malt Cold Brew Coffee Fruit Juice Nutraceuticals Sports Beverages
Beverage Enhancers Dairy Fruit Puree Nutritional Syrups
Beverage Pods Dairy Alternatives Functional Beverages Organic Beverages Tea (Ready-to-Drink)
Bottled Water Distilled Spirits Gels Plant-Based Beverages THC Beverages
Cannabis Drinks Energy Drinks Hard Cider Powders

Vegetable Juice
Canned Water Energy Shots Hemp/CBD Beverages Ready-to-Drink Cocktails Wine
Carbonated Soft Drinks Enhanced Water Isotonics Seltzer Wine and Spirit Based Beverages
Cider (Non-alcoholic) Flavored Water            
Other Beverage Types (please separate entries with commas):
 
     
Capping Capabilities -
please hold ctrl while selecting all that apply
Cap Sizes -
please hold ctrl while selecting all that apply
Labeling Capabilities -
please hold ctrl while selecting all that apply 		Certifications -
please hold ctrl while selecting all that apply

Other:
Other:

Other:

 Other:
     
NUMBER OF FILLING LINES (Please enter quantity):
No. of Lines   No. of Lines   No. of Lines  
Please enter a number Aseptic Lines Please enter a number Hot Fill Lines Please enter a number Pail Lines
Please enter a number Bag-in-Box Lines Please enter a number HPP Lines Please enter a number Pasteurization Lines
Please enter a number Carb Lines Please enter a number Keg Lines Please enter a number Pouch Lines
Please enter a number Chilled Lines Please enter a number Liquid Enhancer Lines Please enter a number Purepak Lines
Please enter a number Cold Fill Lines Please enter a number Multifunctional Lines Please enter a number Retort Lines
Please enter a number Cup Lines Please enter a number Nitrogen Lines Please enter a number Tote Lines
Please enter a number Drum Lines Please enter a number Nitrous Lines Please enter a number Tunnel Lines
Please enter a number High Acid Aseptic Lines Other Filling Lines (please enter type and quantity):
     
Pkg/Size
              
Cans
Cold Fill
Carb
Hot Fill
Tunnel
Pasteurization
Aseptic
Purepak
Retort
7.7 oz
   
12 oz
   
16 oz
   
20 oz
   
24 oz
   
               
Glass
              
7 oz
   
10 oz
   
12 oz
   
16 oz
   
20 oz
   
24 oz
   
32 oz
 
   
46 oz
 
   
64 oz
   
               
PET
              
8 oz
 
   
12 oz
 
   
16 oz
 
   
20 oz
 
   
24 oz
 
   
46 oz
 
   
64 oz
 
   
               
Paper
              
125 ml
     
 
250 ml
     
 
375 ml
     
 
1 pint
     
 
32 oz
     
 
64 oz
     
 
               
HDPE
              
7 oz
 
 
 
12 oz
 
 
 
16 oz
 
 
 
20 oz
 
 
 
64 oz
 
 
 
128 oz
 
 
 
 
Other:
Other:
Other:
Other:
Other:
Other:
Other:
     
 
CAPACITY THIS LOCATION (CASES PER YEAR):
     
 
DO YOU PRODUCE PRIVATE LABEL PRODUCTS AT THIS LOCATION?
 		 Yes   No
 
DO YOU OFFER LOGISTICS SERVICES AT THIS LOCATION?
Yes   No
 
DO YOU OFFER STORAGE/WAREHOUSEING FACILITIES?
Yes   No
 
DO YOU OFFER DISTRIBUTION SERVICES AT THIS LOCATION?
Yes   No
     
     
     
  IS THIS A HEADQUARTERS OR SUBSIDIARY/DIVISION LOCATION? H.Q.   SUBS.
     
(IF SUBSIDIARY/DIVISION – PLEASE GIVE HEADQUARTERS, NAME, ADDRESS, CITY, STATE, ZIP AND TELEPHONE NUMBER BELOW)
     
  HEADQUARTERS NAME
   STREET ADDRESS
   CITY
  STATE
  ZIP
  COUNTRY
  TELEPHONE NO.
     
EVERYONE PLEASE FILL OUT:
     
  YOUR NAME
  YOUR TITLE