Rep Inquiry Data Form

 

*  All information needs to be filled in.

Company Name:
Contact Name:
Company Address:  
Street:
City:
Province / State: Postal / Zip Code:
Email:
Phone #:         Fax #
   
Years in Business 
# of Sales Staff
Do you carry stock / warehouse at your location?
Current Product line(s) and # of years with each

Current Territory
      Is your territory exclusive
      Do you have offices and a sales force in these territories?
Do you request an exclusive territory:
What territory?
What is your top selling product, and why?
Will Fredrick Jones compliment your existing product line and why?
Who do you currently market your products to:
What commission rate do you request?
What would be your target sales in your territory for the next 3 years?
More detail you would like to share with Fredrick Jones about your company: