The Perfect Peel® Export Partners Questionnaire

Medica Forte Ltd, Export Partners Questionnaire

Please take some time to answer the questions below. Your answers will help us gain a greater understanding of your business, and your territories of operation.
Company Details
Company name
Company website
Countries of operation
Head office address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Key Contact 1
Name

PrefixFirst NameLast Name
Title
E-mail
Office number

Country CodeArea CodePhone Number
Mobile number

Country CodeArea CodePhone Number
Key Contact 2
Name

PrefixFirst NameLast Name
Title
E-mail
Office number

Country CodeArea CodePhone Number
Mobile number

Country CodeArea CodePhone Number
Further Company Details
Number of employees
Brands & products currently offered
Gross annual turnover (please state currency)
Are you licensed to deal in prescription products?

YesNo
Do you import prescription products?

YesNo
If you answered Yes to "Do you import prescription products" (above) please detail
Number of Customers by Sector
Medical Clinics
Beauty Salons
Direct sales (postal or internet fulfilment)
Additional information
Please use this space to add any additional information or notes.
You can upload any files here that further explain yoiur company - brochures etc.

Upload up to 3 files

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Medica Forte Ltd, Export Partners Questionnaire