Tell Us About Yourself

We’d like to know about you and your business. We use this type if information to help us better serve you. If you would provide us the following data, we’d really appreciate it – and you definitely stand to benefit!

CONTACT
TITLE
COMPANY
ADDRESS
CITY/STATE/ZIP
PHONE
FAX
EMAIL
BEST TIME TO CONTACT YOU?

 
ANNUAL FLOUR USAGE (IN POUNDS
Less than 10,000 40,000 - 200,000
10,000 - 40,000 200,000 or more

 
NUMBER OF FOODSERVICE EMPLOYEES
5 or Less 25 or more
6 - 25  

 
TYPE OF BAKERY:
Retail Wholesale
In Store Franchised (# of units )
Pizza Chain Owned (# of units )
Foodservice
DAY PART
Breakfast Lunch Dinner

 
TYPE OF PRODUCTS
Full Line Bread and Rolls
Cakes and Sweet Goods Bagels
Pastries Other

 
PREFERRED DISTRIBUTORS
1
2
3

 
CURRENT CUSTOMER
Yes         No

 
OTHER

 
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