DC Delivery Information
Fields marked with an "*" are required items

Thank you for taking the time to provide your company information so that we will have accurate and current data. If you have trouble with this form, please email: Tracy Ott.

DC Information
DC #:*
Name:*
Primary Address Line 1:*
Primary Address Line 2:
City:*
State, Province or Territory:*
Postal Code:*
Country:*
Time Zone: *
Facility Main Phone Number:*
(Ex: xxx-xxx-xxxx)
Facility Fax Phone Number:*
(Ex: xxx-xxx-xxxx)
Do you adjust for Daylight Savings Time? *
Primary Purchasing Contact:*
Primary Purchasing Email:*
Primary Purchasing Phone:*
(Ex: xxx-xxx-xxxx)
Phone Extension: (if applicable)
Secondary Purchasing Name:
Secondary Purchasing Email:
Secondary Purchasing Phone:
(Ex: xxx-xxx-xxxx)
Phone Extension: (if applicable)

Billing Information
Billing Address same as above:
Billing Name:*
Billing Address 1:*
Billing Address 2:
City:*
State, Province or Territory:*
Postal Code:*
Country:*
 
Accounts Payable Contact Name:*
Accounts Payable Phone Number:*
(Ex: xxx-xxx-xxxx)
Extension: (if applicable)
Accounts Payable Contact Email:

Dock Appointment Contact Information
Dock Appt Contact Name:
Dock Appt Phone Number:*
(Ex: xxx-xxx-xxxx)
Phone Extension: (if applicable)

Receiving Hours of Operation
Please state in military time. For example: 9 am to 5 pm: 0900 to 1700. If your facility is closed, enter "CLOSED" into the field.
  Receiving
Start Time		 Receiving
End Time		 Addt'l Receiving
Start Time		 Addt'l Receiving
End Time
Sunday:  *  *
Monday:  *  *
Tuesday:  *  *
Wednesday:  *  *
Thursday:  *  *
Friday:  *  *
Saturday:  *  *

Primary Emergency Contact Phone:*
(After Hours/Weekends)(Ex: xxx-xxx-xxxx)
Primary Emergency Contact Additional Phone Number:
(After Hours/Weekends)(Ex: xxx-xxx-xxxx)

Incumbent Carrier Information
LXP will include as many incumbent or preferred carriers as possible in our upcoming carrier sourcing event.
Please list your top 5 carriers and estimate the percent of McDonald's volume they handle to your location:
  Carrier Name % Contact Name Phone #
(Ex: xxx-xxx-xxxx)		 Mode/type
(TL, LTL, Other)
1.
2.
3.
4.
5.

Please list any additional carriers you would like to be considered:
Carrier Name Contact Name Phone #
(Ex: xxx-xxx-xxxx)		 Email Address

Comments/Questions
Do you have access to the internet via a web browser?
Are there any specific holidays or time periods your facility is closed?
Does your facility accommodate drop and hook operations?*
IF yes, please enter the following information
Contact name for Drop & Hook arrangements:
Contact phone number for Drop & Hook arrangements:
 
Does your facility require pallet exchange?*
IF yes, please enter your program requirements: