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Company Name:
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Zip Code:
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Address:
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Contact Name:
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Phone #:
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City:
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State:
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AL
AK
AZ
AR
CA
CO
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DC
DE
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IL
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Distributor Information:
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Distributor House Name:
Rep Name:
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Distributor City:
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Distributor Account #:
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Current Coffee Use & Equipment:
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Current Coffee:
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None
Boyds
Cadillac
Cafe Fonte
Caravalli
Caribou
Coffee Bean International
Continental
Diedrich Coffee
Farmers Bros
Folgers
Gavina
GFS Label
Gloria Jeans
Green Mountain
Hubbard and Craven
Illy
Java City
Java Trading Company
Lavazza
Maxwell House
Paramount
Peets
Rituals (US Food Service Label)
Royal Cup
S&D
Seattle Best
Starbucks
Superior
Sysco Label
Torrefazione Italia
Tully's
Other
If other, specify:
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Current Pounds of Coffee per Week:
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< 10
10-24
25-50
51-75
76-100
101-150
151+
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Do you currently have coffee equipment?
Yes
No
If yes, what manufacturer?
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American Metalware
Bunn
Curtis
Fetco
Techni-Brew
What type of equipment does location have?
Shuttle System - 1.5 gallon
Urn - 3 gallon
Coffee Pot Brewer - 60 oz
Airpot System - 3 Liter
How did you hear about Seattle's Best Smooth Solutions program?
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Web
Sell sheet
Company Sales Person
Distributor Rep
Advertising
Email
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