DISTRIBUTOR QUESTIONNAIRE

Please provide: Company Name: Street Address: City/State/Province: Postal Code: Country:
Primary Contact
Please indicate below, your type of business, are you a:
Please select all sales tactics you deploy in your territories:
How do you promote your product lines in general?
What customer segments do you serve?
What products are most interesting/relevant for your market?
Please provide: Business Name: Address: Contact Name: Contact Telephone:
Who is responsible for payment of invoices within your organisation?
Person to Contact