COMPANY INFORMATION
(*mandatory fields)
*Company Name
*Number of Years in Business
*Address
*City
*State
*Zip Code
*Country
*Phone
*Fax
Do you have an immediate opportunity that Huron Technologies can assist you with?
*Number of Persons Employed
Website Address
Annual Sales Last Year
Annual Sales 2 Years Ago
Annual Sales 3 Years Ago
Bank Reference
*States/Area of Operation
Name of Major Shareholder
PRIMARY CONTACT PERSON
(*mandatory fields)
*Contact Name
*Phone
Mobile
E-mail
Fax
DOES YOUR COMPANY SELL OR MANUFACTURE MOLD RELEASE AGENTS?
At the present time?
Yes
No
If yes, what companies have you represented?
If no, why are you interested in distributing mold release agents?
In the past?
Yes
No
If yes, what companies have you represented?
If no, why are you interested in distributing mold release agents?
WHAT PRODUCT(S) DOES YOUR COMPANY MARKET TODAY?
Product 1
Description
Manufacturer and trademark
% of your total sales
%
Customers
Product 2
Description
Manufacturer and trademark
% of your total sales
%
Customers
Product 3
Description
Manufacturer and trademark
% of your total sales
%
Customers
WHAT IS YOUR COMPANY’S SALES FORCE?
Tell us about your sales force
Number of sales representatives visiting customers
Number of inside sales representatives
Which areas/countries are visited regularly by your sales force?
Additional information on your agency:
WHAT IS YOUR COMPANY’S ADVERTISING BUDGET?
Part of your sales dedicated to advertising, mailings, shows, brochures, etc. %
What types of advertising do you use?
Trade Shows (check all that apply)
Press releases
Brochures
Telemarketing
Other (explain):
WHAT IS YOUR COMPANY’S CURRENT MARKETING PLAN?
Please explain plan
How do you sell your customers?
Based on your current knowledge of Huron Technologies, what recommendations would you have for marketing our products?
Are you willing to write a short marketing plan for a territory?
Yes
No
WHAT PORTION OF YOUR SALES FORCE ARE YOU PLANNING TO DEDICATE TO SALES FOR HURON TECHNOLOGIES, INC.?
Number of sales representatives
Do you intend to assign dedicated representatives in the selling of Huron Technologies mold release agents only?
Yes
No
Are you prepared to visit Huron Technologies in Leslie, Michigan, USA for technical training?
Yes
No
What type of training is provided for your sales force?
Why should we consider your agency?
WHAT IS YOUR COMPANY’S SALES FORECAST FOR THE NEXT THREE YEARS?
Qty of Release Agents
Sales ($)
Qty of Release Agents
Sales ($)
Qty of Release Agents
Sales ($)
COULD YOU PLEASE PROVIDE THREE REFERENCES?