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1. COMPANY NAME: ___________________________________________________________
2. COMPANY PRINCIPAL: name ____________________ title _____________________
3. COMPANY WEB SITE URL: ___________________________________________________
4. PRODUCT TO BE PRESENTED: ________________________________________________
5. ROVIDE A BRIEF DESCRIPTION OF YOUR PRODUCT: ____________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
6. Cost: ____________________:Wholesale__________________:Retail___________________
7. Terms: ______________________________________________________________________
8. FOB Point: __________________________________________________________________
9. Previous Sales Results: _________________________________________________________
10. Carton Pack: _______________________________________________________________
11. UPC Code: _______________________________________________________________
12. Weight: ___________________________________________________________________
13. Samples: To be sent to each Rep - (As we will request), 6 samples to be sent _______
14. IDENTIFY THE SERVICES YOU ARE SEEKING:
OR HAVE IN PLACE:
-NEED/Done
-PROTOTYPE DEVELOPMENT ____/____
-PRODUCT SOURCING / CONTRACT MANUFACTURING ____/____
-DEVELOPMENT OF PRODUCT RETAIL PACKAGING AND SALES ____/____
-DISTRIBUTION AND FULFILLMENT SOURCES ____/____
-NATIONAL REPRESENTATION OF YOUR PRODUCT TO RETAIL ____/____
-OVERALL MANAGEMENT OF PRODUCT SALES TO RETAIL ____/____
15. IS YOUR COMPANY IN NEED OF FUNDING TO CONTINUE ITS PRODUCT
DEVELOPMENT? (YES or NO). IF YES, FOR WHAT AMOUNT AND FOR WHAT
PURPOSE? _________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
16. PLEASE BRING OR SEND THE FOLLOWING:
6 PRODUCT SAMPLES, LITERAURE (DIGITAL COPY) ON YOUR PRODUCT OR SERVICE, DIGITAL
IMAGERY AND PRICING INFORMATION (COST, WHOLESALE, RETAIL, AND SHIPPING / HANDLING COSTS)
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