Your Company / Business Name:
Your Name:
Your Position / Title:
Phone (include area code):
Fax (include area code):
E-mail:
Website:
Mobile:
Address:
City / Zip / Country:
Tell Us About Your Business
Products/Services you deal with:
How long has your company been in business?
In which country/countries do you focus your sales efforts:
Where do you focus your sales efforts :
Your approximate annual sales and the number of salespeople:
List the Big Projects done by your company
Name and address of the Bankers ,since when deal with the Bank?
Which products are you most interested in?
Do you sell any other Building construction related products If yes , Products :
How did you hear about Kamex Quick Park?
Please provide us with a business reference (Company Name/ Contact Name/ Phone/ Fax)
Do you buy any other products from other companies or are you a marketing agent of other company (list top 2)
Please enter your specific geographic regions of interest:
How do you sell?
Please add any additional organizational information: