International Distributor 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 :

Zip / Postal code :

Country :

Telephone :

E-mail :

Company Web site:

II. Business Information

Date Founded ?

Business Type

If other, Please specify Type

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

III. Business Experience

Are you interested in resale of our product?

If so, explain your method of distribution ?

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?

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

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

Completed by:

Name:

Title:

Date:

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 specifically 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 .