Get Distributor Profile

Distributor Profile platts isbett In order to objectively evaluate your company s application to become an appointed distributor for Platts Nisbett in your region you are required to complete the form below. If you have any questions relating to the form please do not hesitate to contact us. Note All information submitted will be treated as confidential and is for internal use only. This information will not be disclosed to any third party. Please complete this form and return to Julie Corrigon at the address below or by email to julie plattsnisbett. com i Company Address of Head Office Country Telephone Fax Email Website Who would be your primary contact Name Job Title Direct Telephone Brief company profile include year company formed number of staff employed Where are your offices located Which geographical territories do you cover What other companies do you represent What are your short term company objectives What are your long term company objectives Annual Turnover This Year Last Year Previous Year T 0114 275 0387 F 0114 279 8434 E sales plattsnisbett. com W www. plattsnisbett. com Registered in England 1297203 MD 77047 Quality Assurance Details of your contact for quality Is your company registered to any recognised quality standards Which standards is your company registered to ISO 9001 Yes ISO 13485 No Other Please specify Certificate Numbers Please provide copies Scope of Registration Please provide copies Do you have product certification / approval If necessary are your technical files available for inspection Have you carried out and documented a comprehensive risk analysis for the products you supply e. g CE Mark Company Referees Please provide contact names at principal suppliers Name Job Title If you would like to add any additional information please do so here Company Authorisation Completed by Position Signature Date. If you have any questions relating to the form please do not hesitate to contact us. Note All information submitted will be treated as confidential and is for internal use only. This information will not be disclosed to any third party. Please complete this form and return to Julie Corrigon at the address below or by email to julie plattsnisbett. This information will not be disclosed to any third party. Please complete this form and return to Julie Corrigon at the address below or by email to julie plattsnisbett. com i Company Address of Head Office Country Telephone Fax Email Website Who would be your primary contact Name Job Title Direct Telephone Brief company profile include year company formed number of staff employed Where are your offices located Which geographical territories do you cover What other companies do you represent What are your short term company objectives What are your long term company objectives Annual Turnover This Year Last Year Previous Year T 0114 275 0387 F 0114 279 8434 E sales plattsnisbett. com i Company Address of Head Office Country Telephone Fax Email Website Who would be your primary contact Name Job Title Direct Telephone Brief company profile include year company formed number of staff employed Where are your offices located Which geographical territories do you cover What other companies do you represent What are your short term company objectives What are your long term company objectives Annual Turnover This Year Last Year Previous Year T 0114 275 0387 F 0114 279 8434 E sales plattsnisbett. com W www. plattsnisbett. com Registered in England 1297203 MD 77047 Quality Assurance Details of your contact for quality Is your company registered to any recognised quality standards Which standards is your company registered to ISO 9001 Yes ISO 13485 No Other Please specify Certificate Numbers Please provide copies Scope of Registration Please provide copies Do you have product certification / approval If necessary are your technical files available for inspection Have you carried out and documented a comprehensive risk analysis for the products you supply e.