Name: *
Job title:
E-mail address: *
Phone number: *
Best time of day to call:
\nSelect time
7:00 am
8:00 am
9:00 am
10:00 am
11:00 am
noon
1:00 pm
2:00 pm
3:00 pm
4:00 pm
5:00 pm
6:00 pm
7:00 pm
Best day to call:
\nSelect day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Your company's name: *
Address: *
Address Line 2 (if applicable):
City *
State/Province *
Zip Code *
Country
Your company's web address: *
Business Category: *
\nSelect a category
Wholesaler (B2B)
Retail Store(s)
Web/Catalog/Mail Order
Contract Packaging
Fulfillment House
Other
If "other", please specify:
Decision Window *
\nSelect timeline
Urgent
Within 1 month
3 to 6 months
Within a year
Just checking suppliers
Product Category: *
T abletop/china
G lassware
F ood Products (i.e., bottles, jars, etc)
H ome Décor (i.e., pottery, ceramics, glass, etc.)
H ealth & Beauty (cosmetics, bottles, jars, etc.)
L ighting/Electrical Parts
O EM (Automotive, etc.)
I ndustrial (tools, instruments, gauges, etc.)
H ousewares/Kitchenware
O ther
If "other", please specify:
Average Number of Packages Shipped per Day: *
\nSelect number
Less than 100
101 to 500
501 to 1,000
1,001 to 5,000
More than 5,001
Primary Protective Packaging Materials Used: (check all that apply) *
B ubble-type wrap
F oam wrap
P eanuts
D unnage (paper void fill)
F oam-in-place
A ir pillows
O ther
If "other", please specify:
Check all that apply:
A dvertisement
R eceived item protected by Geämi
R ecommendation from current Geämi customer
W eb search
O ther
If "other", please specify:
If you saw our ad, where did you see it?
Would you like more information on the Geämi Cost Per Package Challenge™?
Y es
N o
Would you like more information on the Geämi Branding Program?
Y es
N o
Please Let Us Know of any Specific Needs, Comments or Questions that You Have: