Customer Profile  Company Information Company Name: Address: City: State: ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DIST. OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON OTHER PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING    Zipcode:   Telephone: --    Ext:   Fax: -- Toll Free #: -- Website:   Point of Contact: Title: Email: Company Type: Private Public D&B D-U-N-S #: Fiscal Year-End: January February March April May June July August September October November December   Questions  1. Describe the product being delivered.      2. What is the average weight and size of product? Provide accurate dimensions.      3. Average number of pieces per delivery.      4. Please provide a list of pickup locations.      5. How many deliveries per week? Please provide historical delivery data.      6. Type of delivery program. Last mile home delivery Door-to-door delivery (linehaul & last mile delivery)    7. What type of delivery coverage do you need? Please check below. Major Markets Only All Markets in the USA    8. Type of service required. Check all that apply. White glove delivery Threshold delivery Basic/Curbside delivery Room of choice Unpack Debris removal Assembly Installation Reverse/Return Service Warehousing   Please describe your required services in greater detail:      9. How will the delivery information be transmitted to NonstopDelivery e.g. web order entry, Flat file, FTP, EDI?      10. What is the average wholesale cost per order?      11. What is the average retail cost per order?      12. What is the current damage rate percentage?      13. Why are you looking to change from your current provider? Check all that apply. Price Customer Service Professionalism Financial Stability Transit time Dependability New Offering Other, please explain:    14. What NonstopDelivery employee have you been working with?     Submit

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