Corporate Partner Questionnaire & Credit Application Corporate Partner Questionnaire Contact Name Title Email Cell Office Delivery State(s): 1. What is your venue? (Click/Check all that apply) 1. What is your venue? (Click/Check all that apply) Office Employee breakroom Boardroom Satellite remote office Construction site Lobby Hotel In-room Lobby Stadium Club lounge Concession Convention center Concession Meeting room Dealership Café University/Hospital Cafeteria Food service Professional Services Salon/Barbershop Car dealership OtherOther 2. Product (Click/Check all that apply) Product Request Coffee K-Cup Compatible Capsules Bags – 1lb Bags – 5lb Bags – OtherBags – Other Single Serve Pods – Deke’s House Blend Single Serve Pods – French Vanilla Single Serve Sachet RTD Cans Roast Preference – Coffee Light Medium Dark Grind Preference – Coffee Whole Bean Coarse Espresso Drip (Ground) Blend Options -Coffee Deke’s House blend Terrific Tanzanian Ethiopian Excellence French Vanilla (decaf option) White Chocolate Macadamia (decaf option) Pecan Praline (decaf option) Dark Chocolate Caramel (decaf option) Other Frequency – Coffee Weekly Bi-Monthly Monthly Bi-Annually Volume – Coffee (please indicate lbs. or units) Blend Options – K-Cup Compatible Capsules Deke’s House blend French Vanilla Frequency – K-Cup Compatible Capsules Weekly Bi-Monthly Monthly Bi-Annually Volume – K-Cup Compatible Capsules (please indicate lbs. or units) Roast Preference – Bags Light Medium Dark Grind Preference – Bags Whole Bean Coarse Espresso Drip (Ground) Blend Options – Bags Deke’s House Blend Terrific Tanzanian Ethiopian Excellence French Vanilla (decaf option) White Chocolate Macadamia (decaf option) Pecan Praline (decaf option) Dark Chocolate Caramel (decaf option) Other Frequency – Bags Weekly Bi-Monthly Monthly Bi-Annually Volume – Bags (please indicate lbs. or units) Roast Preference – Single serve Pods Light Medium Dark Grind Preference – Single serve Pods Whole Bean Coarse Espresso Drip (Ground) Blend Options – Single Serve Pods Deke’s House blend Terrific Tanzanian Ethiopian Excellence French Vanilla (decaf option) White Chocolate Macadamia (decaf option) Pecan Praline (decaf option) Dark Chocolate Caramel (decaf option) Other Frequency – Single Serve Pods Weekly Bi-Monthly Monthly Bi-Annually Volume – Single Serve Pods (please indicate lbs. or units) Roast Preference – Single Serve Sachet Light Medium Dark Grind Preference – Single Serve Sachet Whole Bean Coarse Espresso Drip (Ground) Blend Options – Single Serve Sachet Deke’s House Blend Terrific Tanzanian Ethiopian Excellence French Vanilla (decaf option) White Chocolate Macadamia (decaf option) Pecan Praline (decaf option) Dark Chocolate Caramel (decaf option) Other Frequency – Single Serve Sachet Weekly Bi-Monthly Monthly Bi-Annually Volume – Single Serve Sachet (please indicate lbs. or units) Roast Preference – RTD Cans Light Medium Dark Grind Preference – RTD Cans Whole bean Coarse Espresso Drip(ground) Blend Options – RTD Cans Deke’s House blend Terrific Tanzanian Ethiopian Excellence French Vanilla (decaf option) White Chocolate Macadamia (decaf option) Pecan Praline (decaf option) Dark Chocolate Caramel (decaf option) Other Frequency – RTD Cans Weekly Bi-Monthly Monthly Bi-Annually Volume – RTD Cans (please indicate lbs. or units) Merchandise Merchandise Mugs T-shirt Hoodies Frequency Weekly Bi-Monthly Monthly Bi-Annually Equipment Equipment K-Cup Compatible Machines OtherOther Frequency Weekly Bi-Monthly Monthly Bi-Annually 3. Logistics/fulfillment A. Delivery Request: (Click/Check all that apply) 1-7 days from time of order 8-14 days from time of order B. Does your company have any proprietary logistical systems (i.e., refrigerated trucks/vans) that we would be expected to integrate with? C. Do you prefer we deliver to a food services company or directly? If so, please indicate here: D. Do you have preferred delivery company? Federal Express UPS USPS OtherOther In the section below, include any additional information to help us better understand your wholesale request. For If you are human, leave this field blank. Next Start Over