Questionnaire

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*The information on this form will not be distributed to any other party other than Shuert Industries.

Customer Name:
Street Address:

City:

State:

Zip Code:

Contact:
Phone Number:
Fax Number:
E-mail Address:

1. What type of yarn: Spun Open End Textured Other:

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2. Type of carrier: Tube Cone (3-6-9 deg.) Both

3. What yarn diameters are you packing?:

4. Can yarn touch?: Yes No

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5. Was sample yarn sent to Shuert?: Yes No

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6. Conveyor: Yes No

Center to Center Width: Roll Dia.:

7. Banding: Yes No

Stretch Wrapping: Yes No

8. Type of material handing equipment: Fork Lift Pallet Truck Other:

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9. What Yarn-Paks are you recommending?:

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10. Quote Request?: Yes No

Size:

Color:

Stripe?:

Yes No

What Color?:

	Quantity 1:	Quantity 2:	Quantity 3:
Pallet:
Top:
Divider:
Sleeve:
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Comments:

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