Distributor Evaluation Survey

Basic Information

Question Title

1. Please tell us about your company

Name:

Company:

Address 1:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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2. Company website:

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3. Company background

Corporation

Partnership

Sole Proprietorship

Division

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4. Additional background

Year founded:

Total current sales:

Number of product lines:

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5. How does the organization generate income?

Manufacturer's Representative

Distributor

Service

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6. Does your organization do either or both of:

Do service work

Provide value-added integration

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7. Personnel

Total

Management

Outside Sales

Inside Sales

Administrative

Service

Technical Support

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* 1. Please tell us about your company

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* 2. Company website:

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* 3. Company background

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* 4. Additional background

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* 5. How does the organization generate income?

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* 6. Does your organization do either or both of:

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* 7. Personnel

1. Please tell us about your company

2. Company website:

3. Company background

4. Additional background

5. How does the organization generate income?

6. Does your organization do either or both of:

7. Personnel