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
Beer/Malt
Bottled Water

Cannabis Drinks

Cocktail Mixers
Coffee
Carbonated Soft Drinks
Dairy
Dairy Alternatives
Distilled Spirits
Energy Drinks
Enhanced Water
Energy Shots Flavored Water Frozen Concentrates Fruit Beverages Fruit Drinks Fruit Juice
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 -
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Labeling Capabilities -
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Certifications -
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Other:

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:
Cup 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