Prospective Distributor Profile Form
COMPLETE THIS PROFILE FOR YOUR FREE PASSWORD TO ACCESS DETAILED INFORMATION ABOUT ALL CEVAN PRODUCTS. We will evaluate your business needs and come back to you with a detailed response. You will receive your special password to access additional information, including pricing, terms and conditions for a distributorship and terms and conditions of sales.

* All fields must be completed in order to process this form.

Company Name:
Address:
City:
State/Province:
Postal Code:
Country:
Phone:
Fax:
E-mail Address:
Web site URL:

Your Name and Names and Titles of Key Personnel in the Company:


Banking Information/Capital (include Contact Name, Phone, and Fax:


Years Established:
Annual Turnover:
Total Number of Employees:
Technical Employees:
Sales Employees:
Administrative Employees:

Geographic Area Covered:


Types of Products Distributed:


Products Imported From U.S.:


Competing Products:


Types of Distribution Channels (please be specific):


Warehouse Space (sq meter):
Office Space (sq meter):
Estimated Initial Order:
Estimated First Year Sales:
Projected Frequency of Orders:

Trade Shows Attended:


How Did You Hear About Us?


Enter Any Other Pertinent Information:




Cévan International
ph: (303)772-6956
fx: (303)772-6957
600 Weaver Park Road, Suite D
Longmont, Colorado 80501
U.S.A.

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