Global Procurement Inquiry Form
Name
First Name
Last Name
Company Name
Email Address
example@example.com
Office Number
Format: (000) 000-0000.
Mobile Number
Format: (000) 000-0000.
What industry are you in?
Agriculture
Business consulting and services
Construction
Consumer Goods
Food & Beverage
Government/Municipal
Healthcare
Health and Wellness Products
Infrastructure
Leisure and Hospitality
Manufacturing
Packaging Equipment
Process Control
Retail
Technology
Telecommunications
Water/Wastewater
Other
Provide the name and description of the product:
What is the HTS or NCM number?
Upload a picture of the product:
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Choose a file
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of
Please provide product data and/or technical specifications:
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What is the intended application?
Does your company currently import this product?
Yes
No
If you are currently importing, what country are you purchasing this from?
Who is the current supplier and/or brand you use?
Current cost of this item:
Quantity needed to order:
Estimated yearly consumption of this item:
Please inform us of any product requirements:
This can include packaging requirements (for example: the product needs to be in 25kg bags)
Final destination (please include the incoterms you prefer):
Any additional details you would like us to know:
How did you find out about FERTG Consulting?
Search engine (Google, etc)
Social Media
Customer Referral
Videos
Online Reviews
Blogging
Other
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