Filium Pre-Qualification Questionnaire

Filium Corp.'s patent-protected, proprietary technology transforms natural, sustainable fabrics into liquid and stain resistant, odor-free, nano-free, fast-drying performance fabric in a manner that is eco-friendly and safe for people and the planet.

For the first time ever, Filium Corp. is licensing the first and only technology to help eliminate toxic chemicals and textile microfibres to partners all over the world.

We are thrilled at the opportunity to work with you. Please complete this questionnaire so we can determine how the Filium® Technology will best fit your needs.
Pre-Qualification Questionnaire

Please complete each required question.
CORPORATE INFORMATION

Help us learn more about the Company.
Name of Legal Business Entity:*
Location:*
Parent Entity (if none, type N/A:*
Parent Location (if none type N/A):*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is the Mailing Address the same as the Legal Address?*

YesNo
Legal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What is your website?*
Type of Business: *
(ie. sports, uniforms, etc)
Sales Contact Name: *

First NameLast Name
Position:*
Contact Email*
example@example.com
Main Phone Number*
Alternate Phone Number
Are you an agent?*

YesNo
Do you currently work with an agent?*

YesNo
Agent's Name*

First NameLast Name
Email *
example@example.com
Phone Number*
Company's Annual Revenue:*

Under $10MUnder $100MOver $100MOver $500M
How did you hear about Filium® Technology?*

FACTORY INFORMATION

Please help us understand your manufacturing process by providing us information about the factories who produce your products:
Do you contract with factories to manufacture your products?*

YesNo
Name of Factory:*
Location:*
What products are manufactured at this Factory?*
Order Volume (by product):
(units or fabric weight)
Add an additional Factory

YesNo
Name of Factory:
Location:
What products are manufactured at this Factory?
Order Volume (by product):
(units or fabric weight)
Add an additional Factory?

YesNo
Name of Factory:
Location:
Name of Factory:
Location:
What products are manufactured at this Factory?
Order Volume (by product):
(units or fabric weight)

BUSINESS GOALS

To help us understand how best to help you, please provide the following information:
What is your timeline or deadline for integrating Filium® into your prodcuts?*

Within 1 Year1-2 Years3-5 YearsOther
Is there any additional information you would like to provide or any specific questions you have about Filium technology?

ACKNOWLEDGEMENT
By checking the box below, you acknowledge that:

1. Filium® exclusively retains and reserves all worldwide rights, title, and interest, including, but not limited to, all intellectual property rights and other proprietary rights, in and to Filium’s® raw materials, fabric, activation processes, documentation, applications, technology, patents, trademarks, copyrights and trade secrets (the “Filium® IP”)

2. You will not challenge the validity of the Filium® IP for any reason.

3. You will observe the strictest secrecy with respect to Filium® IP and will take all affirmative steps necessary to maintain Filium’s® intellectual property rights (including trade secret status) of the Filium® IP.
Should be Empty:

Filium Corp.'s patent-protected, proprietary technology transforms natural, sustainable fabrics into liquid and stain resistant, odor-free, nano-free, fast-drying performance fabric in a manner that is eco-friendly and safe for people and the planet.

For the first time ever, Filium Corp. is licensing the first and only technology to help eliminate toxic chemicals and textile microfibres to partners all over the world.

We are thrilled at the opportunity to work with you. Please complete this questionnaire so we can determine how the Filium® Technology will best fit your needs.

Pre-Qualification Questionnaire

CORPORATE INFORMATION

PRODUCT INFORMATION

FACTORY INFORMATION

BUSINESS GOALS

ACKNOWLEDGEMENT