Please take a moment to complete the survey form below. Additionally you can fill out our Goods and Services Checklist. One of our Barter Professionals will contact you to answer any questions you have and help determine how barter can benefit your business. If you wish to join, they will assist you in completing the enrollment process.

Your Name:

Business Name:

Street Address:

City, State, Zip:


Phone:

Fax:

HOW CAN THE BARTER DEPOT WORK FOR YOU: (Select All That Apply)
Increase sales Reduce cash expenses
Expand market share Move excess inventory

PLEASE DESCRIBE YOUR TYPE OF BUSINESS:


If other,please explain and/or add category:


WHAT PRODUCTS AND SERVICES ARE YOU INTERESTED IN BUYING?

ARE YOU CURRENTLY A MEMBER OF ANOTHER BARTER EXCHANGE?
YES NO

If YES, which Barter Exchange?