Firms with websites are encouraged to make this questionnaire a part of their web presence. It lets possible representatives know that you are looking for business relationships as well as what it will take for them to do business with you.
Please return completed questionnaire to:_________________________________________________________
General Information
Company name:_____________________________________________________________________________
Company address:_____________________________________ Telephone:___________________________
____________________________________________________ E-mail:______________________________
____________________________________________________ Fax: ________________________________
____________________________________________________ Cable: ______________________________
Company Organization:
Sole Proprietorship____ Corporation____ Partnership____
Limited Liability_____ Other_____________________________
Date organized_________________________________________________
Principal officers or owners:
1) Name:________________________________ 2) Name:__________________________________
Title:_________________________________ Title:____________________________________
Home Address:_________________________ Home Address:___________________________
_____________________________________ _______________________________________
Home Phone:__________________________ Home Phone:____________________________
3) Name:________________________________ 4) Name:_________________________________
Title:_________________________________ Title:__________________________________
Home Address:_________________________ Home Address:__________________________
_____________________________________ ______________________________________
If your company is a subsidiary, list the name and address of parent company:
____________________________________________________________________________________________
Describe your company's major business activities:_______________________________________________
_________________________________________________________________________________________
List all your company's branch offices and/or representatives:_______________________________________
Please identify the individual (s) in your company responsible for sales, service, and administration:
Sales:____________________________________________________________________________________
Service:___________________________________________________________________________________
Administration:_____________________________________________________________________________
FINANCIAL INFORMATION
Sales for last year:__________________________________________________________________________
Sales for current year:________________________________________________________________________
Sale forecast for next year:____________________________________________________________________
Your company's paid-in capital:________________________________________________________________
Bank name and complete address:_____________________________________________________________
__________________________________________________________________________________________
Business references (U.S. references would be appreciated), including names, address, and person to contact:
a)________________________________________________________________________________________
b)________________________________________________________________________________________
c)________________________________________________________________________________________
Please attach current financial statement and/or annual report.
MARKETING INFORMATION
Are you currently a representative, dealer or distributor of (identify product line)?
Yes____ No____
Describe types of products represented or sold, including brand names:_______________________________
How long have you been in the (specify product are) business? _____years
Note below the government or private organizations with whom you have good current liaison:___________
Are you currently an agent or representative of any other company which manufactures product similar to (specify product are)? Yes____ No____
If yes, name of companies____________________________________________________________________
Do you have an objection to our contacting any principals? Yes____ No____
What are your geographic sales for the above listed product(s)?______________________________________
Projected sales of our products for the next fiscal year_____________________________________________
Will you maintain product for demonstration in your country? Yes____ No____
Please describe your product display facility and/or product demonstration procedures:__________________
TECHNICAL INFORMATION
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? Yes____ No____
Name and address of outside service contractor:__________________________________________________
Company name:____________________________ Contact:__________________________________
Company address:__________________________ Telephone:________________________________
________________________________________ Telex:____________________________________
________________________________________ Fax:_____________________________________
________________________________________ Email:____________________________________
If you do not have a service facility, are you willing to establish one for support of our products?
If yes, when?________________________________________________________________________________
[ Up ] [ A Good Commission Plan Includes These 4 Elements ] [ Agents, Distributors And Joint Ventures ] [ Checklist For Agent/Distributor Agreements ] [ Common Complaints About U.S. Exporters ] [ Finding Representatives Through The Commercial Service ] [ Firing Distributors ] [ How Americans Negotiate And Why ] [ Improving Foreign Distributor Performance ] [ Know Your Customer Guidance ] [ Lead Sources for Overseas Distributors ] [ Package 39 ] [ Prospective Business Partner Questionnaire ] [ Recruiting Representatives ] [ Sample International Contact Program Report ] [ Sample Prospectus Or Fact Sheet ] [ Sources of Credit Information ] [ The Best Negotiation Strategy Overseas ] [ Warning - Check Out Foreign Reps and Distributors ] [ What A Representative Prospect Wants From You ] [ What An Agent Looks For In A New Line ] [ What You Want From A Representative ]
Date Updated: June 11, 2010
