'Excellence in Chemical Distribution'

ICC Vendor Survey

* 1. Company Information


* 2. Customer Service Contact


* 3. Sales Contact


* 4. Quality Contact


* 5. Please Indicate Ownership Type

        

* 6. Person Completing Form


  

ICC Vendor survey

  

12. Do you manufacture at this location?

  
         

13. Facilities(closest to Glendale, NY)


14. Check all applicable industries supplied to

                    
           

15 Main Products Supplied

   

16 (For Chemical distributor only) name 5 U.S.Companies you distribute for

   

(For Non U.S. companies only ) provid 3 U.S. business references for us to contact


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ICC Vendor survey

  

33.Please advise Location(s) of Warehouse


34.Do you Store:

  
  
  
  
  
  

35.Are you:

  
  

36.Delivery Services:

Do you-


37. Can you:


38.Can you arrange pick up of containers from closest Seaport?


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