Company Name
Contact Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position
Phone Number
-
Area Code
Phone Number
Source
Total # of Employees
# On Site
Avg. Employee Age
AM break minutes
Lunch minutes
PM break minutes
Male
Female
# 1st Shift
# 2nd Shift
# 3rd Shift
# Office
# Mfg.
Employee allowed to eat at work station?
Yes
No
Employee allowed beverages at work station?
Yes
No
Employee allowed to use machines:
Break Time Only
Anytime of Day
Number of Breaks Per Day:
Food Truck?
Yes
No
Contract?
Yes
No
Keeping It?
Yes
No
Contract Until?
Commission Now?
Yes
No
Commission Rate:
Bid Commission?
Yes
No
Bid Rate:
Current Machine Styling :
Preferred/Acceptable Machine Styling:
Problems with Current Service:
Prospect's Objectives:
Need To Do for the Sale:
Other Bidders:
Salesperson:
Date
-
Month
-
Day
Year
Date Picker Icon
Proposal Needed By:
-
Month
-
Day
Year
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Current Vendor:
Since
Current OCS:
Since
Current Service Days:
Proposed Service Days:
Should be Empty: