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:    Pet Supplies  Tools  Paint & Sundries  Plumbing  Houseware  Lawn & Garden  Builders Hardware  Electrical  Automotive  Seasonal

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

*Primary Address Line: *Primary City / State / Zip: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Primary Phone Nbr:    *Primary Fax Nbr: *Primary E-Mail Address *Web Address:   http://

*Business Year Established:

*Business Nature:           TraderManufacturerTrader & Manufacturer

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

*Main Customers in North America:  Lowe's    Do It Best  True Value    Orgill  Wal-Mart    Ace Hardware  Target    Canadian Tire  Sears    Menard's  K-Mart    Home Depot  Other

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...) Remarks

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 )