Distributor Questionnaire
We would like to ask for a few minutes of your time to fill out the following questionnaire.
The information requested will allow us to better understand your company and the market you are operating in, as well as to better evaluate your potentiality as a Clover Distributor.
General Information
Company Name *
Your answer
Contact Person *
Your answer
Country \ Area of operation *
Your answer
Company's Website *
Your answer
Email address *
Your answer
Office \ Mobile Phone Number *
Your answer
Company Product Lines *
Please indicate in which fields your company is currently involved
Your answer
How long has the company being in business for?
Your answer
Number of employees *
Your answer
Please specify your company’s core business: *
Please specify the number of the: Point of Sale\ Stores in your chain\ Accounts\ e-costumers *
This question referring to your company's core business respectively to the answer above
Your answer
Please indicate the products & brands your company currently works with:
Your answer
Does your company current sell electric scooters or any similar product?
Are any specific regulations/certifications applicable to Electric scooters in your country(s) of distribution? If other - please specify.
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This form was created inside of eRiding Solutions Inc.