PROSPECTIVE RESELLER QUESTIONNAIRE 

Please complete this questionnaire as thoroughly as possible so full consideration can be given to your suitability.

A. Company Representative Details

1.

2.

3.

4.

5.

B. Company Details

COMPANY'S SOCIAL MEDIA HANDLES

SALES HISTORY

PLEASE SPECIFY YOUR TOP 3 TARGET INDUSTRY OR MARRKET

% of Total Annual Sales

% of Total Annual Sales

% of Total Annual Sales

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

I.

II.

III.

12.

13.

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