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Nexus New Business Data Request Form

Please fill out the following fields for all required data.
CUSTOMER INFORMATION
First Name: * Account Name: *
Last Name: * Company Address: *
Email Address: * City, State, Zip: *
Contact Phone: Office Phone: *
Referred By: Type of Business: AnnualProject
INVENTORY INFORMATION
Product Description: * Food Grade Product? *
Temperature Controlled Product? * Requires Refrigeration/Freezer? *
Is any product considered hazardous? * If yes, please provide details:
Average Monthly Pallets: * Average Weight/Pallet (lbs): *
Annual Turns: * Inventory Value:
Average Monthly Cases: Average Case Weight (lbs.):
Average Cases/Pallet: Average Monthly Pounds:
Pallet/Product Dimensions: Square Feet Required:
# of SKU's in Inventory: Does the 80/20 rule apply?
Peak Inventory Months: Low Inventory Months:
Can pallets be stacked? How high can pallets be stacked?
How will inventory be rotated? Other Rotation Method:
What UMO will inventory be tracked?: Other Tracking UOM:
Are cases clearly marked with SKU's?: If no, explain how identified:
Addt'l Inventory Information:
INBOUND INFORMATION
Average Inbounds/Month: * Average Pallets/Inbound:
Average Cases/Inbound: Average Weight/Inbound:
SKU's/Inbound Receipt: % of pallets w/mixed SKU's:
Inbound Rail %: Inbound Container %:
Inbound TL %: Inbound LTL %:
Inbound Parcel %: Inbound Other %:
Inbound % Palletized: Inbound % Slip-Sheet:
Inbound % Clamp: Inbound % Hand-Stacked:
Will returns be sent the warehouse? Will ANS be provided?
OUTBOUND INFORMATION
Average # of Pallets Shipped/ Month: * Average orders shipped/ month:
Average weight per order: % Full Pallet Pick:
Average cases per order: % Case Pick:
Average lines/ order: % Each Pick:
Outbound % Shipped Rail: Outbound % Shipped Container:
Outbound % Shipped TL: Outbound % Shipped LTL:
Outbound % Shipped Parcel: Outbound % Shipped Other:
Peak Shipping Month: % Orders expect to increase:
How will orders be sent? Will orders require specific retail compliance?
How will inventory be released? File Format:
What is the lead time for shipment (in days)? Number of same day shipments/month?
TRANSPORTATION & OTHER INFORMATION
Will Nexus coordinate inbound transportation? If yes, please provide origin zip codes, average shipment size (LTL, TL or both), and estimated shipment volume. Will Nexus coordinate outbound transportation? If yes, please provide origin zip codes, average shipment size (LTL, TL or both), and estimated shipment volume.
Addt'l Program Information: