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Vendor Survey

Company:
 Contact:
Title:
Street:
 Suite:
 City:
 State: Zip:
Phone:
 Extension:
E-Mail:

1. Which of the follow services does your company operate?

Full-line Vending Office Coffee Services
Corporate Dining Services Catering Trucks
Video Games  

2. In what year was your company's local operation established?

3. Year of current ownership (if different from above)?

4. Owner/General Manger’s industry experience (in years):

5. What is your firm's service geography?

6. How many routes does your company operate?

7. Does your company operate evening and weekend repair service?

Yes No

8. Number of full-time, dedicated road service (repair) technicians: 

9. Average number of employees in the past 12 months:  

10. Are service employees :

Bonded?
 Yes  No
Uniformed?
 Yes  No

11. Covered by Workman’s Compensation Insurance?
Yes       No

12. Screened for substance abuse as a condition of employment?
Yes       No

13. Does your company carry $1,000,000 or more in liability insurance?
Yes      No

14. What trade organizations does your company belong to?

Thank you for your interest in being considered for account opportunities
managed by The Wilkinson Group. Once we have received your completed
survey a Wilkinson Group representative will contact you directly.