Distributor Questionnaire Your Company Name                 Address                                 City     State Select StateAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming Zip Phone     Fax   Your Name     Title   Your Email Telephone How did you hear about us? What advertisements have you seen? What Geographical Territory do you currently serve? Type of Company Retailer Distributor Agent Catalog Importer Exporter Do you have an outside sales force? Yes or No Yes No If yes, how many sales people do you have? Year established Annual Sales in $ What is your primary market? What types of products do you carry? Do you present products to: Spas/Health Resorts? Facial Salons? Facial Schools? Beauty Schools? Other? (Please check all that apply) Please list the publications in which you currently advertise: Please list the trade shows at which you regularly exhibit: Do you have a company newsletter for: customers? sales staff? How many issues are published per year? What other mailings do you do? Please list the trade shows at which you regularly exhibit: Please provide information on product lines you currently represent: Company                 Phone     Contact Name   Major Products Sold Company                 Phone     Contact Name   Major Products Sold Which Bio Jouvance products and equipment lines will best serve your customers' needs? Please list. : Do you have customers who have requested Bio Jouvance products and equipment? Yes or No Yes No Please check areas in which you are interested in working together to promote sales and product awareness (Please check all that apply): Advertising Trade Shows In-service Presentation Training Sales Staff Other Please provide information on your marketing strategy and any information that will help us understand your company's attributes, interests and concerns: home   |   online store   |   about bio jouvance   |   contact us   |   privacy policy   |   site map