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Name of Facility:
Address:
City:   State:   Zip:
Name of Buyer:
Contact Name:
Email:
Phone:
-   Ext.:
FAX:
-
Would you prefer to be contacted by fax, Email or snail mail?
FAX     Email     Snail Mail

Are you part of a chain?
    Yes    No
Current (main) food vendor:
Amount you spend monthly for food: $
Current (main) janitorial vendor:
Amount you spend monthly for food: $
Please indicate which vendors you are interested in:
(Choose as many as apply)
Food
US Foodservice
FSA (NW states only)
Other
Unisource - janitorial supplies (avail. in most areas)
Eco-Lab - laundry and warewashing chemicals
All Star Linen - linens, pillows, towels etc.
Boyds Coffee - gourmet coffee, espresso etc.

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Anthony Owen, food purchasing, food broker, group purchasing, purchasing, food service, janitorial, maintenance supplies, hotel, restaraunt supplies, golf, bowling, co-op, paper, savings, kitchen wares