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
 
Beer/Malt
Bottled Water
Cocktail Mixers

Coffee

Carbonated Soft Drinks
Dairy
Distilled Spirits
Energy Drinks
Enhanced Water
Energy Shots
Flavored Water
Frozen Concentrates
Fruit Beverages Fruit Drinks Functional Beverages Gels Isotonics Low Acid Beverages
Nutritionals Organic Beverages Powders RTD Tea Smoothie Base Sports Beverages
Syrups Wine Wine and Spirit Based Beverages Other Beverage Types:
   
     
Capping Capabilities -
please hold ctrl while selecting all that apply
Capping Sizes -
please hold ctrl while selecting all that apply
Labeling Capabilities -
please hold ctrl while selecting all that apply

Other:

Other:

Other:

     
NUMBER OF FILLING LINES:
 
Aseptic Lines:
Aseptic Lines- High Acid:
Aseptic Lines- Low Acid:
Carb Lines:
Chilled Lines:
Cold Fill Lines:
Hot Fill Lines:
Multifunctional Lines:
Nitrogen Lines:
Nitrous Lines:
Pasteurization Lines: Pouch Lines: Purepak Lines: Retort Lines: Tunnel 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:
     
DO YOU PRODUCE PRIVATE LABEL PRODUCTS 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