Receiving Appointment Form NOTICE: Receiving hours have changed - Aug. 16th, 2010      *Information Required You can either: (1) fill out and submit this form online, or (2) print the paper version, fill it out, and FAX it to (215) 236-3365. This Request is*: New     Revised   Carrier Name*: Carrier Phone No*: Carrier Contact Name*: Carrier FAX No*: Carrier Email Address*:     APPOINTMENT INFORMATION & PROCEDURES ALL RECEIVING APPOINTMENTS MUST BE CONFIRMED THROUGH THIS PROCESS. Appointments will be taken from 12:00 a.m. to 12:30 p.m. Monday thru Friday. Late requests will not be responded to until the next day. A request for an appointment will NOT be responded to without an Honor Foods Purchase Order number which is an alphanumeric number generated by our Purchasing department. Deliveries are by appointment only and MUST be made no less than 48 hours in advance. Do not send duplicate faxes. Responses will be within 2 hours. If you cannot meet the appointment you were given, you must e-mail us at Receiving@HonorFoods.com Please do not place calls, send duplicate faxes or duplicate emails unless we have failed to respond within 2 hours. This will only cause further response delays.   DELIVERY POLICIES Receiving hours are from 12:00 a.m. to 12:30 p.m., Mon. through Fri. Driver must check in with receiving clerk at the receiving desk. Driver must have the confirmation number provided below when checking in. All loads are driver assist. Lumpers are available. There are no DROP loads. Time windows are in two-hour increments. We will respond with a specific appointment date and time. Following are available time windows:  12:00 am - 2:00 am   2:00 am - 5:00 am   5:00 am - 7:00 am   7:00 am - 9:00 am   9:00 am - 11:00 am   11:00 am - 12:30 pm  VENDOR NAME HONOR PO NUMBER PALLETIZED Y or N TOTAL NO. CASES APPOINTMENT REQUESTED DATE TIME WINDOW * Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m. Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m. Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m. Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m. Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m. Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m. Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m. Select a time window 12:00 a.m. - 2:00 a.m. 2:00 a.m. - 5:00 a.m. 5:00 a.m. - 7:00 a.m. 7:00 a.m. - 9:00 a.m. 9:00 a.m. - 11:00 a.m. 11:00 a.m. - 12:30 p.m.

1801 N. 5TH STREET, PHILADELPHIA, PA 19122 TEL (215) 236-1700 FAX (215) 235-2020 All contents © copyright 2007 Honor Foods - Div. of Burris Logistics All rights reserved.