Advanced Coating - Contact Us - International Distribution Questionnaire

All prospective International Distributors interested in importing our products are required to complete this questionnaire. The contents of this information will be confidential, used solely to determine your firm’s qualifications, and will not be disclosed to others.

I. General Information

Business Name :		Address:
City:		State:
Country :		E-mail:
Zip/Postal Code:		Fax:
Telephone:		Website:

II. Organization

Business Type:
if other, please specify
Date Founded:
State of Formation:

III. Currrent Business

Please describe, in detail, the type of business your firm is in:

IV. Business Experience

Are you interested in resale of our product?

If so, explain your method of distribution?

Are you interested in installation of our products?
If so, do you currently have installation crews?
Are you interested in resale of our product?

What is your assessment of the current market potential for our coatings in your market? Do you feel there is a need for our type of coatings there?

Do you currently import other products?

If so, please explain what product you currently import.

Are there any coatings similar to ours available in your market place?

If yes, please provide a list of products and manufacturers.

Does your company have multiple locations?

If yes, please explain.

Does your firm have any direct experience in the roofing industry?

If yes, please explain.

Have you given and consideration how to best promote our product line in your market place?

If yes, please explain.

I hereby certify that the above information is accurate, correct and true. (Please check if yes)

Completed by:

Name:		Title:
Date:

Privacy Policy
Advanced Coating Systems, Inc. will respect the confidentiality of the information relating to its individual users and visitors and the laws governing the privacy of information that apply in the country and state where the Web site is located. Information identifying a user will not be disclosed by Advanced Coating Systems, Inc. staff to anyone unless authorized by that individual. Your email address and personal details are never passed on, or sold, to 3rd parties - they are used only to supply the services requested and for statistical analysis .