Business Name:

School District:

Number of Schools in District:

District Enrollment:

Breakfast Average Daily Participation:

Lunch Average Daily Participation:

Kellogg Sales Representative:

Distributor Name:

Distributor City:

Distributor State:

Contract Management Company:
(if applicable)

Co-Op Membership:
(if applicable)

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College/University Name:

Please Specifiy Your Job/Function:

Student Enrollment:

Distributor Name:

Distributor City:

Distributor State:

Kellogg Sales Representative:

Contract Management Company:
(if applicable)

Property Name:

Chain Brand Name:

Distributor Name:

Distributor City:

Distributor State:

Number of Rooms:

Daily Breakfast Covers:

Ownership Classification:

Chain Owned

Independent

Chain Franchise Owned

Management Group

Full Service Kitchen:

Banquets/Catering Service On-site:

Facility Name:

Specify Facility Type:

Primary GPO (Group Purchasing Org.):

# of Licensed Beds:

# of Employees:

Distribution Name:

Distribution City:

Distribution State:

Contract Management (If Applicable):

Banquets/Catering On-Site: