Application for dealership


Dear Sirs,

With interest we have noticed Arthur's fire protective clothing on your website.

Through this questionnaire we express our interest in marketing Arthur's fire protective clothing in our region or country. We herewith briefly introduce our company. We trust all information given will be treated confidentially.


Company name: *

Company adress: *

Telephone: *

Fax: *

E-mail adress: *

Website:

Contact Person: *

Primary products: *

Market share per primary product:

Number of employees: *

How Arthur's complements our portfolio: *

Opportunities we see for Arthur's: *

Expected number of FTE's actively marketing Arthur's: *

Support we need for a successful introduction of Arthur's: *

Willingness to invest in samples: *

Additional information: