Perspective
Business Partner Questionnaire
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Print the questionnaire.
Please return completed questionnaire to Barcel Landscape
Products Inc.,
(Address at bottom of page) |
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General Information
Company
name:__________________________________________________________
Telephone:______________________________________________________________
Telex:__________________________________________________________________
Fax:____________________________________________________________________
Cable:__________________________________________________________________
E-mail
address:___________________________________________________________
Web
site:________________________________________________________________
Company Organization:
Proprietorship________Corporation_______ Partnership______
Limited Liability
_______ Other_______ Date Organized_________________________
Principle
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:____________________
__________________________________
_________________________________
Home
Phone:_______________________
Home Phone:______________________
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:___________________________________________________________
MARKETING
INFORMATION
Are you currently a
representative, dealer or distributor in (landscape products and/or
mulches)?
Yes________No_________
Describe types of
products represented or sold, include brand names:__________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
How long have you
been in a landscape business? _______years.
Are you currently an
agent or representative of any other company, which manufactures
product similar to Color Enhanced Mulch? Yes______No_______
If yes, name of
companies:__________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Do you have an
objection to our contacting any principles? Yes________No________
What is your
geographic sales for the above listed products(s)?______________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Project 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:____
_____________________________________________________________________
_____________________________________________________________________
______________________________________________________________________
FINANCIAL
INFORMATION
Sales for last
year:_________________________________________________________
Sales for current
year:______________________________________________________
Sales forecast for
next year:__________________________________________________
Your company(s) net
worth:_____________________________________________
Bank name, complete
address and phone number:_________________________________
______________________________________________________________________
______________________________________________________________________
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.
It is agreed that
Barcel Lanscape Products, Inc. may contact the above listed
references; and such references are hereby authorized to convey to
Barcel Landscape Products, Inc. any information requested.
Date:
______________________
Signature: ______________________
Title: __________________________
When completed
please return to:
Barcel Landscape Products
Inc.
4120 C RD # 1
Bellwood NE 68624-2487
Phone 402-538-3895 Fax 402-538-2161
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