Sign One Licensee/Distributor Questionnaire

*Date:*
Your Company Details:
Company Name:
Street Address:
City:
State/Province:
Zip/Post code:
Country:
Postal Address:
City:
State/Province:
Zip/Post Code:
Country:
Phone Number: (including area code)
Fax Number: (including area code)
Website Address:
*E-mail Address:*
*Contact Person:*
*Position in Company:*
Names of all Company Directors: (separate with semicolons)
*Number of Company Employees:*
*Make up:* (i.e. external, admin etc)
*Business Reference (1):*
*Bus. Reference (1) Phone:* (including area code)
*Business Reference (2):*
Bus. Reference (2) Phone: (including area code)
*Personal Reference (1):*
*Reference (1) Phone:* (including area code)
*Personal Reference (2):*
*Reference (2) Phone:* (including area code)
*Annual Revenue:*	0 to $1M $1M to $5M $5M to $10M $10M and over
Do you have warehousing facilities: Yes No If Yes, please describe product distribution capability:

*What are your territory's geographical boundaries:*

*Who do you sell to: (eg, distributors, end users) Please include percentages.*

*How many active accounts do you have?*
What product range do you sell?

What fundamental business philosophies do you adopt in your business?

Your Interest in Representing Us:
Why are you considering adding the Sign One product line to your product range:

Why do you think our product will sell in your country?

What are your clients' attitudes toward purchasing an imported product as opposed to a locally made equivalent:

As a prerequisite, what are your expectations of Sign One?

Your Marketing Strategy:
Your aspirations as to market share potential and/or achievable sales:

How would you go about achieving these aspirations: