Visual Solution Resource
Pre-Qualification Form
(* Required Fields)
Organization Name
Contact Name*
E-mail Address*
Phone*
Fax
 
Shipping Address

Address 1*

Address 2
City*
State*
Zip*
 
Billing Address (If Different)
Address 1
Address 2
City
State
Zip
 
Would your organization like to have a link on our site?
If yes, please provide a brief description of your organization below (See our links page for examples):
 
Typical Monthly Usage*:
Quantity Manuals/Month
LE101 - Principles of Lean Manufacturing*
LE202 - Value Stream Mapping*
LE203 - The 5S System: Workplace Organization*
LE204 - Setup Reduction*
LE205 - Cellular/Flow Manufacturing*
LE206 - Pull/Kanban Systems*
LE206B - Pull/Kanban Systems (Alternate)*
LE207 - Total Productive Maintenance*
Required Lead Time for Orders (in workdays):
Preferred Shipping Method*
Preferred Payment Method*
If "other", please explain
 
Additional Comments:
 
 
 

Visual Solution Resource
8585 Timber Ridge Road
Effingham, Illinois  62401
Phone  (217) 536-9716
Fax:  (217) 536-9719

© 2002 Visual Solution Resource