Level Number (if applicable) Street Number, Street Name, City or Province & Post Code
Your answer
Country *
Country of Company's Head/Main Office
Your answer
Title *
Title of Key Company Contact Mr/Miss/Ms/Mrs
Choose
Mr
Miss
Ms
Mrs
Other
First Name *
First Name of Key Company Contact
Your answer
Surname *
Surname/Last Name of Key Company Contact
Your answer
Position held in Company *
Role/Position held by Key Company Contact identified above
Your answer
Contact Email Address *
Key Contact Email Address
Your answer
Contact Telephone Number *
Key Contact Work Telephone Number
Your answer
Contact Mobile Number (Optional)
Key Contact Current Mobile Number
Your answer
Additional Contacts (Optional)
Additional Contact information including Title, First Name, Surname, Position, Contact Phone/Mobile and Contact Email
Your answer
Brief Company Profile *
Your answer
Nature of Business *
Please select 1 of the options below
Choose
Manufacturing
Trader
Exclusive Export Agent
Importer
Number of Employees *
Please indicate number of employees. If there is no seasonal change then select Not Applicable (N/A) for rows 1 & 2 and indicate number of employees in row 3.
Less than 50 Employees
Between 51 - 100 Employees
Between 101 - 250 Employees
Between 251 - 1000 Employees
Between 1001 - 5000 Employees
Greater than 5000 Employees
Not Applicable (N/A)
Low Season
Peak/High Season
No Seasonal Change
Less than 50 Employees
Between 51 - 100 Employees
Between 101 - 250 Employees
Between 251 - 1000 Employees
Between 1001 - 5000 Employees
Greater than 5000 Employees
Not Applicable (N/A)
Low Season
Peak/High Season
No Seasonal Change
Annual Sales Turnover *
Your answer
Functional Currency *
Main Currency as stated on Invoices
Choose
USD - US Dollar
GBP - Great British Pound
HKD - Hong Kong Dollar
JPY - Japanese Yen
EUR - Euro
INR - Indian Rupee
THB - Thai Baht
ZAR - South African Rand
AUD - Australian Dollar
Other
Countries currently exported to and percentage (%) contribution of Sales *
Please list countries that you currently export to and indicate its percentage contribution to Annual Sales Turnover?
Your answer
Top 5 Customers *
Please list who your key (top 5) customers are?
Your answer
Brief Outline of types of products produced *
List/Summary of products you currently produce.
Your answer
Export to Australia and New Zealand? *
If you do not export to Australia or NZ please select the N/A option for all rows.
Australia
New Zealand
Both Australia & NZ
N/A (Not Applicable)
To Importers
To Exclusive Agents/Distributors
To Retailer directly
Other
Australia
New Zealand
Both Australia & NZ
N/A (Not Applicable)
To Importers
To Exclusive Agents/Distributors
To Retailer directly
Other
If you export to Australia or NZ (as per the above question) please list Who, What products, Value per year and How long for?
Your answer
Minimum Order Quantities (MOQ) Packs *
Your answer
Minimum Order Quantities (MOQ) Products *
Your answer
Would you be willing to supply OEM products to Woolworths *
Choose
Yes
No
Other
QA Certification *
Please detail the specific certification, audit date and who performed the audit
Your answer
Manufacturing Site(s) and Owners of site *
Please list location of manufacturing site(s), Owner of factory and Key Commercial and Quality Contact Information.
Your answer
Additional Comments (Optional)
Please feel free to provide additional commentary below
Your answer
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