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Distributor Inquiry

For best service, please provide us with the information below. This information will be kept confidential. We will not sell or share this information with other parties. Being a distributor and having distributor experience is important in order to apply or qualify. All information provided by the distributor candidate will be reviewed and considered.

CONTACT INFORMATION

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QUESTIONNAIRE

1. What do you distribute?

(Please select all that apply)

  • Cosmetics
  • Hair Product
  • Skin Care Products
  • Medical Products
  • Hospital Products
  • Not a Distributor


2. How do you intend to distribute the products?

(Please select all that apply)

  • Outside Sales Associates
  • Mail Order
  • Telemarketing Calls
  • Television
  • Internet
  • Other


3. What medical, skin care, hair, or cosmetics lines are you currently distributing, if any?

(Please list top 5 lines,if available)

4. What territory do you cover or would you like to cover? (city, state, country)

5. What markets do you currently distribute to or would you like to distribute to?

  • Skin Care Centers
  • Beauty Salons
  • Spas
  • Doctor Offices
  • Department Stores
  • Pharmacies
  • Direct to Others
  • Other



6. Approximately what volume (in US$) do you expect to purchase from Wilma Schumann every quarter (Winter, Spring, Summer, Fall) for your territory?

7. Are you a...?

  • Corporation
  • Individual


8. How long have you been in business?

9. Approximately how many employees do you currently have?

10. Approximately how many clients do you currently have?

11. What else can you tell us about your operation and experience? (Please provide us with brochures, websites or any additional printed materials that you may have)