***Note: DO NOT fill this form out without having already completed a New Client Form. If you have multiple projects you would like to submit, you can fill out this form as many times as required or you can utilize our Excel-based Project Request Form.

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* Required Field
Company Information

Company Name:	*
Company Phone Number:	*
Client ID:	*

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Project Contact Information

Primary Contact Full Name:	*
Primary Contact Email Address:	*
Primary Contact Phone Number:	*
Alternate Contact Full Name:
Alternate Contact Email Address:
Alternate Contact Phone Number:

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Product Information

Product ID / SKU:	*
Industry:	***please select one*** Food & Beverage Pharmaceuticals Medical Device Healthcare Products Home Products Consumer Goods Cosmetics Electronics Automotive Aerospace Military *
Product Name:	*
Product Family:
Other Product ID's / SKU's using the same packaging materials:
Additional Product / Package Information:

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Manufacturing Site Information
*Please provide the number of production lines at each Mfg site that are set up to run the product indicated in the PRODUCT INFORMATION section above.
**Please list how many alternate components you have at each site, as you may have different suppliers or slight differences in design for certain components.

Manufacturing Site 1

Site 1 Name:	*
Site 1 City, State:	*
Site 1 Country:	*
Site 1 # of Production Lines*:	*
Site 1 # of Alt Components**:	*
Site 1 Internal or External:	***please select one*** Internal External

Manufacturing Site 2

Site 2 Name:
Site 2 City, State:
Site 2 Country:
Site 2 # of Production Lines*:
Site 2 # of Alt Components**:
Site 2 Internal or External:	***please select one*** Internal External

Manufacturing Site 3

Site 3 Name:
Site 3 City, State:
Site 3 Country:
Site 3 # of Production Lines*:
Site 3 # of Alt Components**:
Site 3 Internal or External:	***please select one*** Internal External

Manufacturing Site 4

Site 4 Name:
Site 4 City, State:
Site 4 Country:
Site 4 # of Production Lines*:
Site 4 # of Alt Components**:
Site 4 Internal or External:	***please select one*** Internal External

Manufacturing Site 5

Site 5 Name:
Site 5 City, State:
Site 5 Country:
Site 5 # of Production Lines*:
Site 5 # of Alt Components**:
Site 5 Internal or External:	***please select one*** Internal External

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Common Manufacturing Configurations
***Note: To save you time on filling out our request for information forms, we need to know which sites share the same packaging components and palletization configurations. In order to meet COMMON CONFIG criteria, both packaging components and palletization configuration MUST be identical. For example, if SITE 1 and SITE 2 share common components and pallet configuration then list both sites under COMMON CONFIG 1.

List all sites, listed above, that share common packaging components and palletization configurations.

Common Config 1:
Common Config 2:
Common Config 3:
Common Config 4:
Common Config 5:

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