Manufacturer's Representative Questionnaire

Thank you for your interest in representing Salina Vortex. It is our company's policy to have every prospective representative complete this questionnaire. Thank you for your cooperation in this matter.

GENERAL COMPANY INFORMATION

Name:

Address:

City:

State:

Country:

Company President or Director:

COMMUNICATIONS

Telephone Number:

Fax Number:

Email Address:

Web Site:

TYPE OF BUSINESS

Agency:

Wholesaler/Buy-Resale:

Distributor:

Other:

Number of Employees:

Number of Sales Personnel:

Year Company Established:

Location of Sales Office(s):

Describe Your
Geographic Sales Territory:

PRODUCTS SOLD

Please provide the name and brief description of the product line represented by your company.

	Product Line	Years Represented
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10.

MARKETING INFORMATION

What major trade shows do you exhibit or attend on a frequent basis?

What major trade journals do you advertise in or read regularly?

What types of Industries do you call on regularly (for example Plastics, Foods, Minerals, etc...)?

Briefly describe the methods you would use to market products in your country.

Briefly describe the level of technical expertise in your company.

Briefly describe the after-sales services that you provide.

Is there additional information about your company that you would like us to know?