| Company Name:* |
|
| Owner's Name:* |
|
| Nature of Business:* |
|
| Address: |
|
| City / State: |
|
| Zip / Postal: |
|
| Country:* |
|
| Tel:* |
|
| Fax:* |
|
| Email:* |
|
| Company's Website: |
|
| Year company founded: |
|
| Legal status of company: |
|
| Annual turnover in USD or EUR:* |
|
| Number of Employees (total) |
|
| Number of outdoor field reps. (Sales) |
|
| Number of indoor reps. (Sales) |
|
| Branch offices (location) |
|
| What are your line of products? |
|
| Who are your major competitors? |
|
| Do you have other distribution agreements covering related products: ( If yes, please advise ) |
|
Which geographical market do you service effectively and which market segment do you intend to approach with our product/s? |
|
| Do you have any business operations in other countries? ( if yes please specify ) |
|
| In addition can you cover any neighboring countries? ( if yes please specify ) |
|
| |
|
|
