|Company Name: *|
|Company Address: : *|
|Date organized: *|
| / || / |
Principal officers or owners:
|MORE ABOUT YOUR COMPANY|
Describe your company`s major business activities: *
|MORE ABOUT YOU|
It would also be helpful to know about your own qualifications and why you feel they are appropriate for representing Memoscent *
|SIZE OF BUSINESS|
Can you tell us about the size of your business -
how many people do you employ, what are your approximate annual sales (in USD)?
Do you have your own warehousing, packing and shipping facilities?
Please describe. Memoscent products must be kept in a clean, secure, temperature controlled area: *
|YOUR SALES FORCE|
Please tell us a little about your representatives and their qualifications to sell a product like Memoscent which territories do each presently handle?
Do you have your own service facility and workshop for repairs and overhaul of products?
If no, do you contract with an outside service contractor?
|PRODUCTS PRESENTLY DISTRIBUTED
What products do you presently distribute?
Are there any possible conflicts? *
Could you please indicate the amount or range of capitalization that you could make available for this business opportunity.
Our concern is that you will be able to finance rapid inventory growth during the first three years.