(Please print, complete and return questionnaire via e-mail, fax or post office mail.)

Date:	Contact:
Company:	Title:
Address:	Telephone:
	Fax:

I. Product Information
A. Detailed description of the products(s) you want to license.
B. Pricing

– Estimated unit wholesale selling price

– Estimated unit retail selling price

C. Does your company currently manufacture and sell this product(s)? If yes:

1. Where are they currently being sold? (Please list account names.)

2. What, if any, other licenses do you hold for this product?

D. Selling season/ship dates

When would you introduce this product?

II. Manufacturing Information

A. Who will manufacture this product?
B. Where will product be manufactured?
C. What type of Quality Control Program does your company have?

III. Sales and Distribution Information

A. Distribution capability

National/Regional

B. What type of sales force?

1) In-house
2) Manufacturer’s Representatives, Rep Group
3) Total number in Sales Force

C. Current Distribution

IV. Marketing Capability

A. What type of advertising or promotion do you plan for this product?
B. Does your company have product design and artwork capability? In-house department, freelance, etc.
C. List any trade shows where you exhibit your products.
D. Other licenses and other products your company sells?

V. Projected sales volume of licensed products for the first, second and third year.
Year Ended Anticipated Annual Sales
Year 1   $
Year 2   $
Year 3   $

VI. Please include the following information, if available.
Annual Report or latest financial data Sales/Product Catalog Newspaper/Magazine articles about your company and any additional data that you feel will assist us in our evaluation process.