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First Name
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Last Name
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Business Phone
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Business Email
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Are you a current or prior customer?
Are you a current or prior customer?
Yes
No
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How did you hear about US Foods?
How did you hear about US Foods?
US Foods Sales Representative
US Foods Support Team (Food Fanatic Chefs, ROCs, etc.)
Search Engine (Google, Yahoo, Bing)
Social Media
Streaming TV (Hulu, Amazon Prime, etc.)
YouTube
Recommended by friend or colleague
Podcast
Other
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Become a customer
What type of business do you own or operate?
Please select one.
Restaurant
Retail
Hospitality / Catering
Healthcare
Education
Food Truck
Personal Use / Consumption
Other
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Become a customer
What's your primary role?
Please select one.
Owner
Management
Chef/Culinary
FOH Staff
Kitchen Staff
A/P or Accounting
Marketing
Dietician
Human Resources
Other
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Become a customer
What cuisine are you best known for?
Please select one.
Bar & Grill
American Regional - Southwest, Cajun, etc.
Steak & Seafood
Sandwich & Deli
Italian
Mexican
Asian
Bakery / Ice Cream / Beverage
Other
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Become a customer
Tell us a little more about your business
Is this a new business?
Yes
No
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Business Name
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Business Address (delivery location)
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City
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State
State
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Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
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Zip Code
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What is the primary way you receive products?
What is the primary way you receive products?
Food distributor via delivery
Restaurant depot/big box, i.e. cash and carry
Retail grocery store
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How often do you receive products?
How often do you receive products?
Once per week
Twice per week
More than twice per week
As needed, less than once per week
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What is your total weekly spend for all your food and equipment needs?
What is your total weekly spend for all your food and equipment needs?
$1 - $1,500
$1,501 - $2,000
$2,001 - $3,000
$3,001 - $5,000
$5,001 - $10,000
$10,001 or more
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