posture medic distributor application · + posture . title: distributor application pm scienza 1.1...
TRANSCRIPT
![Page 1: POSTURE MEDIC DISTRIBUTOR APPLICATION · + Posture . Title: Distributor Application PM Scienza 1.1 Created Date: 8/27/2015 8:24:28 PM](https://reader034.vdocument.in/reader034/viewer/2022050415/5f8bcc3ba6479d482f2ad821/html5/thumbnails/1.jpg)
Version 2
COMPANY PROFILE
Company Name: Country:
Year Company Started: Corporation q Partnership q Government q Sole Proprietorship q
Years in Business: Number of Employees: Number of Sales People:
Projected Revenue for this Year: Last Year’s Revenue:
Type of Business:
Top 5 Current Products:
1. ________________ 2. ________________ 3. ________________ 4. ________________ 5. ________________
TRADE REFERENCES
Company Name: Contact: Annual Purchase:
Company Name: Contact: Annual Purchase:
Company Name: Contact: Annual Purchase:
q Distributor qManufacturer q Retail q Healthcare q Online
Sales: Phone: Email:
Purchasing: Phone: Email:
Shipping/Logistics: Phone: Email:
Marketing/Graphics: Phone: Email:
Name of Applicant: Phone:
Email of Applicant: Date:
Does the company have Distributors? If so how many?
Does the company supply Retail Stores? If so how many?
Does the company supply Clinics/Healthcare? If so how many?
COMPANY CONTACT INFORMATION
APPLICANT INFORMATION
qYes q No
qYes q No
qYes q No
Does the company exhibit at Consumer Tradeshows? If so how many? qYes q No
POSTURE MEDIC DISTRIBUTOR APPLICATIONThank you for your interest in becoming a distributor for Posture Medic.
Telephone: Fax: Website:
Email: [email protected]