Rinchem's goals are to foster lasting partnerships, provide its customers with the most responsive customer service they will ever experience and create a win-win situation for all parties involved.

Please fill in the following questionnaire below to the best of your ability.

* Mandatory Fields
General Info
Contact Name*

Contact Title
Contact Cell Phone
Contact Office Phone*
Contact Fax Number
Contact Email Address*

Company Name*
Mailing Address*
How did you hear about Rinchem?*

High-level overview of current situation*

Problems that you would like to have resolved*

Goals, vision or ideal that you are striving for*

Locations of desired service*

If you would like to provide us with a more detailed description of your needs by answering the questions below, we can more quickly develop a quote for you.
Otherwise, Click Here to submit the above information and a member of the Rinchem business development team will be contacting you to further discuss your needs and gather additional information.

Storage and Handling Information (For throughput, please use 12 month average)
Product Name and DescriptionType of Container (Case, Drum, Tote, Sack, etc.)Is the product palletized?Quantity per PalletDo pallets need to be broken down during receiving?Do pallets need to be broken down during shipping?Net Weight Per Package (Product and Containers)Tare Weight Per Package
(Weight of Just Containers)
Throughput Per Month (Per Weight or Container)Temperature Requirement?To what level is product stackable?Are containers returnable and/or would you like them returned?If drums, do you require dip tube exchange?What is the primary hazard class?What is the secondary hazard class?

If you select Rinchem to provide services, we will need to collect additional information about each product for our information systems. A business development representative can walk you though this process. Some customers also elect, because of the number of SKUs, to run a report from their inventory database and send it to Rinchem with applicable information.

Systems Information
Do you require an on-site inventory management system to be maintained and updated at a Rinchem location? If so, please provide details.
Do you require an interface between inventory systems? If so, what are your expectations?
Would you like to be set up for real-time, 24/7, secured online access to Rinchem's Chem-Star® inventory reports?

Local Delivery Information
Days per week requiring deliveries  
Days of the week (Check all that apply)
Average number of deliveries per month
Average weight per delivery (lbs)
Average number of SKUs (Stock Keeping Units) per delivery
Average weight per month delivered
Delivery Distance Range  
Miles 0-20 miles 21-40 miles 41-60 miles 61-80 miles 80-100 miles 100+ miles
% of deliveries

Additional Delivery Information
Are inter-warehouse shipments required? If so, please provide details.
Are ocean or air shipments required? If so, please provide details.
Will your company provide a P.O. for freight?

Over The Road Transportation Information
OriginDestinationVia Stop 1Via Stop 2Frequency Per WeekAverage Load SizeType of CartageTemperature Requirements

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