Procurement Survey

CP Products, Inc. Procurement Survey If you would like to apply for special pricing from CP Products, Inc. fill out the survey below and click the submit button. This form will allow us to serve you better, helping us to ensure that your supplies are always in-stock.
Name:
Company:
Street Address:
City:
State:
Zip:
Phone (ext.) :
Fax Number:
E-mail:
SIC Code:
Business Type:
Purchasing Agent:
Custodial Supervisor :
Current Cleaning Systems:
*Category*	*Buyer's Name*			*Phone*
Safety Products:
Cleaning Equipment:
Laundry/Dietary:
Housekeeping:
Mill Supplies:
*Budget Information*
Annual Product Budget:
Annual Labor Budget:
On Premise Laundry:
Food Service Budget:
Safety Products Budget:
Equipment/Supplies Budget:
Enter the estimated monthly purchases for your 20 highest volume products below.
Brand-name/Description			Monthly Volume
Example: Premiere Floor Pads / 20" Red			3 cases




















Enter facility information below.
Carpeting Sq. Ft.:
Resilient Floor Sq. Ft.:
Warehouse Sq. Ft.:
Number of Restrooms:
# of Rooms (Lodging):
# of Beds (Health Care):
# of Employees:
Size of Cleaning Staff:
Cleaning & Sanitation is performed by:		Company Personnel Contractor
With whom doyou purchase maintenance supplies, other than CP Products, Inc.
Safety Equipment:
Cleaning Equipment:
Laundry/Dietary:
Housekeeping:
Mill Supplies:

Enter any additional comments in the space provided below:
How would you like to be contacted?
Click submit to send your information! Or click reset to clear all fields.