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
Person 6
 
BEVERAGE TYPES
 
Alkaline Cocktail Mixers Frozen Concentrates Liqueurs Smoothie Base
Apple Cider Vinegar Coffee Fruit Beverages Low Acid Beverages Smoothies
Beer (Non-alcoholic) Coffee Creamer Fruit Drinks Nutraceuticals Sparkling Water
Beer/Malt Cold Brew Coffee Fruit Juice Nutritional Sports Beverages
Beverage Enhancers Dairy Fruit Puree Organic Beverages Syrups
Beverage Pods Dairy Alternatives Functional Beverages Plant-Based Beverages Tea (Ready-to-Drink)
Bottled Water Distilled Spirits Gels Powders THC Beverages
Cannabis Drinks Energy Drinks Hard Cider Protein Drinks

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 Kombucha        
Other Beverage Types (please separate entries with commas):
 
     
Capping Capabilities -
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Cap Sizes -
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Labeling Capabilities -
please hold ctrl while selecting all that apply 		Certifications -
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Other:
Other:

Other:

 Other:
     
NUMBER OF FILLING LINES (Please enter quantity):
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 (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
 
DO YOU OFFER REPACKAGING 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