Prospective Distributor Questionnaire


Please complete this questionnaire as thoroughly as possible so full consideration can be given to your suitability:
Contact Name:
Company Name:
Address:
Telephone Number:
Fax Number:
Email Address:
Website Address:
Number of Employees:
Branch Offices/Warehouses:
Senior Executives: (Name, positions, and qualifications)
What is your present annual sales (U.S. Dollars)?:
Number of sales people:  Outside    Inside
What region/countries do you presently cover?


TOP 5 PRODUCT LINES AND PERCENTAGE OF TOTAL SALES
1st % of Total Annual Sales     Growing    Declining    Flat
2nd % of Total Annual Sales     Growing    Declining    Flat
3rd % of Total Annual Sales     Growing    Declining    Flat
4th % of Total Annual Sales     Growing    Declining    Flat
5th % of Total Annual Sales     Growing    Declining    Flat


COMPANY FOCUS
Please specify your Top 3 target industries or markets:		 Key Applications in that market:
1st % of Total Annual Sales   
2nd % of Total Annual Sales   
3rd % of Total Annual Sales   


PRIMARY PRODUCTS OF INTEREST
Check all that apply:		 ANTICIPATED SALES OF IFI PRODUCTS
 1.5" Industrial First Attack Nozzle after 1 year
 1.5" First Attack Nozzle after 2 years
 1" First Attack Nozzle after 3 years
 2.5" Hurricane First Attack Nozzle  
 1.5" Deluge System Nozzle  
 1" Deluge System Nozzle  
 IFI Sprinkler Heads  


OTHER
What technical qualifications do your sales people have?
List of existing companies and products represented:
Do you have your own distribution transport?  Yes    No
Why should IFI select you as a distributor, and future business partner?
What Trade Shows do you currently participate in?
What would be your plans to advertise, exhibit, and/or promote the complete IFI product line?
Please list your bankers' names and addresses and two other principle names from whom commercial references could be obtained.
   
This document does not constitute an agreement between the applicant and International Fog, Inc. as a representative of IFI products.