POTENTIAL CUSTOMER QUESTIONNAIRE DRY FLOWABLES

Product Information:
Product:	Dry Flowable    Other
Product Type:	Chemical    Food    Adhesive    Other
Actual Product:
MSDS:
Wt per cu ft:
Hazardous:	Yes     No

Current Packaging of Potential Customer:
Dry Flowables:	PP/PE OM-VB     Kraft Paper Bag Bulk Bag     Corrugated Box Other
Handling:	Bottom Handle     Top Handle
Container Dimensions (L x W x H):	x x
Wt per Container:	lb.
Filling Height Restrictions:
Fill Type:	Open Top     Spout Top     Other
Discharge Type:	Spout Bottom     Box Dumper     Other
Pallet Size (L x W x H):	x x
Filling Height Restrictions:
Stacking Requirements:
Stacking Height Restrictions:

Liners for Dry Flowable:
Tube/Open Top:	Size (DIA x L) x
	# of Plys:    Thickness per Ply
	Bottom:   Open     Sealed
Cube/Form Liner:	Size (L x W x H) x x
	Fill Size:   Discharge Size:
	Type of Connections:
	# of Plys:   Thickness per Ply
Other:

Additional Information:

How are you currently transporting your products?           Truck     Ocean Container     Rail     Other

Do you usually ship/receive full truckloads?   Yes     No

Do you use your own trucks?   Yes     No

Do you currently reuse pallets and packaging?   Yes     No

If yes, estimate on the quantities shipping/receiving per month/year:

Fill and discharge locations:

Are you experiencing any problems with your existing system that you would like to see improved ie: filling, discharging, handling, storage, cleaning or repositioning:

Composit Container Product Line

Applicable containers for Dry Flowables:        Pellet Pack     Flexdrum     Uni-Bin

Price Request:   Yes     No

Sample Request:   Yes     No

If yes, expected delivery date:

Contact Information:
* Company:
Contact:
Address:
City, State, Zip:
* Phone:
* Fax:
*E-Mail: