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| Flow Research |
Product Line Expansion Service (PLES) |
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Representative
and Distributor Questionnaire
Step One |
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This service is for representatives, distributors and manufacturers of process control equipment, including control systems and instruments. Its purpose is to bring together rep firms or distributors who are seeking new product lines with manufacturers who are looking for new reps or distributors. This form is designed to identify reps or
distributors who are looking for new lines and to collect some information
about their companies and what they are looking for. Enrollment is free of charge; a fee will be due only if we introduce you to suppliers with whom you strike a deal. Please fill out this form and return it to us at Flow Research. In return, we will send you a complete PLES Information Package. |
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Date __________ Name ______________________ Title ________________________ Company ______________________________________________________ Address _______________________________________________________ City _________________ State _______ Postal Code ____________ Country ___________________________________ Phone ___________________________ Fax ________________________ Email ______________________ Website _________________________ Your Company 1.
Are you a representative or a distributor? 2.
If you are a distributor, are you a stocking distributor? 3.
What is your current marketing territory? 4.
How many people does your company employ? 5. When was your company founded? Your Current Products and Suppliers
(attach your line card or product information if you wish)
6.
What products or systems do you currently offer? 7.
What suppliers do you currently represent? Expansion Goals 8.
Are there any suppliers that you would especially like to
represent? If so, who? 9.
What products or systems would you like to add to your product
portfolio? Please add any other comments or information that you believe would be helpful to us. Thank you for your interest.
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Please return this form to:
Michael Kirsch Senior Analyst Flow Research 27 Water Street, Suite B7 Wakefield, MA 01880 (781) 245-3200 (781) 224-7552 (fax)
For information on our current market studies and our other services, please visit our website at www.flowresearch.com. |
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