Warehouse Rate Request Form

Company Name
Contact Name
Title
Email
Address
City
State
Zip Code
Phone
Fax
Mobile
Mailing Address (if different from above)
Projected Start Date
Do you need quotes for Transportation also?		Yes No

Product to be Stored

Special Services Required		Consolidation Sorting Other

Temperature / Humidity Controlled?		Yes No

Average SKU's to be stored

Pallet Type Required		Wood Chep Plastic Slip Sheet Other
Pallet Size
Width
Height
Length

Hazardous Material?		Yes No

Pricing Structure
Storage		Case Pallet Sq Ft CWT
Handling		Case Pallet Sq Ft CWT

Avg Pallet Height
Stackable?		Yes No

Inventory Records Kept By:		Case Pallet Sq Ft CWT Other

Avg Inventory per Month
Pallets
Cases

Projected Annual Inventory Turns
Loads to be Received		Floor Pallet Slip Sheet
Product to be Handled by		Fork Truck Clamp Truck Hand

Projected number of Shipments Inbound per Day
% Truckload
% LTL
% Small Package

Projected number of Shipments Outbound per Day
% Truckload
% LTL
% Small Package

Would you like Salem Logistics to Route all Inbound/Outbound?		Yes No
If yes please specify
Other Info