Distributor Application * fields are required
 
First Name : *
Last Name : *
Business Name : *
Address : *
City : *
State/Province/Region : *
Zip/Postal Code : *
Country :
International Country Code : *
International City Code : *
Telephone Number : *
Ext. :
Alternate Phone :
Ext. :
Fax Number :
Email Address :
Retype Email Address :
Company Website :
Primary Language : *
Are you currently selling packaged food products? Yes   No
Preferred Contact Method : *
   
Trade Reference #1  
Company Name :
Contact Person :
Fax Number :
International Country Code :
International City Code :
Telephone :
Trade Reference #2  
Company Name :
Contact Person :
International Country Code :
International City Code :
Telephone :
What is your preferred method of payment? (choose one)
   
Marketing Activities  
Please indicate your projected sales in each category.
Who are your top 10 sales prospects?
Hypermarkets   %
Supermarkets   %
Small Grocer   %
Convenience Stores   %
other   % Note: Projected sales percentages must add to equal 100%
How many salespeople are responsible for developing business in your company?
What other products does your company sell?
Will you create brochures and other sales aids to promote our products?
Yes   No If yes, what languages will you use?
Will you advertise in newspapers, magazines or on radio to promote our products?
Yes   No If yes, what media will you use?
What is your advertising budget for packaged food products(in USD) ?
   
Thank you for completing this application.
Please click the button below to submit the information.
 
 

* required fields

*Full Name:
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