= required field
First Name
 Last Name
Company Name
 Business Telephone
Mailing Address
 		Fax Number
City
 State
 Zip
E-mail Address
Physical Address (if different from above)
 		Website Address
Country
 (Prov.)
FEIN
How many years in business?
 		State Reseller's Number
Briefly describe your current product line(s)
Do you sell products that compete with 
Temporary Rain product line(s)?  (List manufacturers and products)
What are your primary target industries or markets?
Do you export?
yes   no
If yes, what countries?
Do you have any questions or comments at this time?
Means of Marketing
1. Print Ads
yes   no		 2. Catalogs
yes   no
3. Direct Mail
yes   no		 4. Trade Shows
yes   no
Please list any trade shows that you regularly attend.
List the trade show that Temporary Rain Products would be 
included when you exhibit
List the trade shows that you recommend for Temporary Rain as
as a candidate to exhibit.
Do you have any questions or comments at this time?
Business References
Contact Name
 Contact Name
Company Name
 Company Name
Phone Number
 Phone Number
Address
 Address
City
 State
   Zip 
City
 State
   Zip 
What is their relationship with you?
 What is their relationship with you?
Personal References
outside your immediate family
Name
 Name
Telephone
 Telephone
Address
 Address
City
 State
   Zip 
City
 State
   Zip 
What is their relationship with you?
 What is their relationship with you?
We thank you for your time and interest, and all of us at Temporary Rain are
looking forward to working with you.  You will be contacted by a Temporary Rain Representative.
 

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