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Hurricane Supply Survey
Major Supply List
1.
Please enter business information as it appears on your licensing portal.
Name
Company
Address
Address 2
City/Town
District
ZIP/Postal Code
Country
Email Address
Phone Number
2.
What items do you sell? Check all that apply.
Prescription medications and glasses
Food and water
Water
Food
Battery
Flashlight
First aid kit
Extra batteries
Whistle to signal for help
Dust masks
Moist towelettes, garbage bags and plastic ties
Wrench or pliers
Manual can opener
Local maps
Cell phone with chargers and a backup battery
Prescription medications
Non-prescription medications
Glasses and contact lense solution
Infant formula, bottles, diapers, wipes, diaper rash cream
Pet food and extra water for your pet
Sleeping bags, blankets, towels
Household chlorine bleach and cleaning supplies
Fire extinguisher
Matches, fire starters, lighters
Feminine supplies and personal hygiene items
Mess kits, paper cups, plates, paper towels and plastic utensils
Paper and pencil
Books, games, puzzles
3.
Please review the list below and list the per unit price of each product. List each product price by brand and quantity sold per unit.
ALL WATER (SIZES & BRANDS)
CEREALS (HOT AND COLD)
ALL BABY FOOD
BABY FORMULAS
SOFT DRINKS
DISPOSABLE CUPS & PLATES (ALL SIZES)
DISPOSABLE SPOONS, FORKS, & KNIVES
CHARCOAL
PROPANE LANTERN
PROPANE FUEL
KEROSENE LAMPS
LAMP OIL
ALL BATTERIES (ALL SIZES & BRANDS)
FLASHLIGHTS (ALL SIZES- PACKS & INDIVIDUAL)
MATCHES (PACK & INDIVIDUAL)
MEDICAL SUPPLIES & EQUIPMENT
HEALTH AIDE
FIRST AIDE SUPPLIES
PRESCIPTION PRICES
INSECTICIDES
GENERATORS
GAS CONTAINERS
PAINTS
PAINT BRUSHES, ROLLERS ETC.
CONSTRUCTION SUPPLIES & MATERIALS
ELECTRICAL SUPPLIES & EQUIPMENT
PLUMBING SUPPLIES & EQUIPMENT
ANIMAL FEED (DOG, CAT, BIRD, ETC…..)
4.
Please attach your pricelists for the season
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