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/Malt Cold Brew Coffee Fruit Drinks Low Acid Beverages Sparkling Water
Beverage Enhancers Dairy Fruit Juice Nutraceuticals Sports Beverages
Beverage Pods Dairy Alternatives Fruit Puree Nutritional Syrups
Bottled Water Distilled Spirits Functional Beverages Organic Beverages Ready-to-Drink Tea
Cannabis Drinks Energy Drinks Gels Plant-Based Beverages Vegetable Juice
Canned Water Energy Shots Hard Cider Powders

Wine

Carbonated Soft Drinks Enhanced Water Hemp/CBD Beverages Ready-to-Drink Cocktails Wine and Spirit Based Beverages
Cider (Non-alcoholic) Flavored Water Isotonics Seltzer    
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:
No. of Lines   No. of Lines   No. of Lines  
Aseptic Lines Hot Fill Lines Pail Lines
Bag-in-Box Lines HPP Lines Pasteurization Lines
Carb Lines Keg Lines Pouch Lines
Chilled Lines Liquid Enhancer Lines Purepak Lines
Cold Fill Lines Multifunctional Lines Retort Lines
Cup Lines Nitrogen Lines Tote Lines
Drum Lines Nitrous Lines Tunnel Lines
High Acid Aseptic Lines Other Filling Lines:
     
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
     
   
     
 

Beverage Marketing Corporation of Ohio
P.O. Box 126, Mingo Junction, OH 43938
Tel: 800-332-6222 | Fax: 740-598-3977