Full name of the contact person:

Company name:

Your website (if any):

Product properties (purpose, effects):

Normative document according to which you’re planning to release the product:

Preferred active ingredient (if any):

Estimated cost per unit of output:

The target audience (age and status of consumer):

Analogue’s name on the market (enter the exact name or provide a link; several options are possible):

Type of packing:

Number of pieces in a package or volume in milliliters (if you know it):

Planned production volume per year in units of finished product (if you know it):

Product storage conditions (if you know it):

Product expiration date (if you know it):

Is the product registered?