Lapisa
 
Questionnaire for applying for Lapisa distribution outiside Mexico.
 

Thanks for your interest in our company and our products. To facilitate the analysis and evaluate your proposal we need the next information from you. Please fill in the next questionnaire.

 
 
   

1.- General

 
Country *  
City  
Name of the contact person *  
Name of the company  
Complete company address  
 
E-mail  
 
 

2.- Actual Business

Years established  
Do you own installations or facilities?  
Total number of employes  
Total number of sales representatives  

Do you have any specialized technicians? If you do, please specify by species and how many

 

 

Poultry * Pets *
 
Is your business national or regional? *  
Do you sell to final user? Wholesales? Other?  
Last year´s USD sales  
 
Please quote the laboratories you currently work with and the share they have in your products (at least five):
1.-
*  
2.-
 
3.-
 
4.-
 
5.-
 
 
Please quote the main products you currently offer and the share they have in your portfolio(at least five):
1.-
 
2.-
%  
3.-
%  
4.-
%  
5.-
%  
 
Is your business focused on? Specify in %
Agricultural and crops
 
Dairy and beef cattle/ovines
 
Poultry and swine
 
Pets
 
 

Lapisa has four different exportable product categories; please point which one your are interested in:

 

Lapisa product categories
 
Reasons to chose the category selected above:
 
Others:
 
     

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