Prospective Import Vendor Questionnaire
Contact Us
Please complete the form below and click on Submit at the bottom.   NOTE: The red asterisks * are required fields.

*Company Name:

*Product Categories:  

*Contact First Name:    *Contact Last Name:  
*Contact E-Mail:

*Primary Address Line:
*Primary City / State / Zip:
*Primary Phone Nbr:
   *Primary Fax Nbr:
*Primary E-Mail Address
*Web Address:   http://

*Business Year Established:       

*Business Nature:          

*Sales ($):    
 2007 .00
 2008 .00
 2009 .00
*Export Regions (%):      
 North America  %
 Europe  %
 Australia  %
 Asia  %
 Rest of the World  %

*Main Customers in North America:

Main Customers in Rest of the world:

Production Factory Facilities Factory 1 Factory 2 Remarks
Production/Factory Location
Factory Site coverage
Number of Workers
Number of QC Persons
Current Annual Capacity
Maximum Annual Capacity
Sub Contractors

Workers Condition Factory 1 Factory 2 Remarks
Worker Skills & Training
Number of working hours per day
Number of working days per week
Workers Welfare (Meal, Dormitory...)

Company Quality Certifications (only 250 characters will be accepted)
Date of Issue:  ( mm/dd/yyyy )

Underwriters Lab File numbers (If appropriate):   *Tax Exempt Number:

Other: ( only 250 characters will be accepted here )