LIFE-TIME WARRANTY
Company Information
Glossary
 

1. Company Name:_____________________________________________
Full Address: _________________________________________________


Contact Name: _________________________________________________
Title: _________________________________________________________


Principle Owner(s):______________________________________________
And/or Officer(s): _______________________________________________


Telephone:_____________________________________________________
Fax:__________________________________________________________
E-mail: ________________________________________________________
Homepage Address: _____________________________________________


2. Year Business Established: _____________________________________

3. Total Number of Employees: ____________________________________

4. Gross annual sales: 1997 US$ _____________1998 US$ ____________
1999 US$ _____________2000 US$____________

5. Business/Supplier reference-list three (3) Japan
1. ________________________________________________________
2. ________________________________________________________
3. ________________________________________________________

6. Who is your primary bank, and for how long?
________________________________________________________
________________________________________________________
________________________________________________________


Sales Information
1. What product do you distribute?
(Especially include those related to NEX1's products)

Product (s) Manufacturer How long have you distributed products Exclusive or Non-exclusive
       
       
       
       
       
       
       
       

2. Do you stock these products? ¡¼ Yes ¡¼ No

3. How many distribution agreements do you have for premise cabling system:
___________________________________________________________

4. Would any of the product lines you are presently distributing represent a potential conflict of interest with NEX1?

__Yes __ No

5. List specific fields which your firm is best known:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

6. Do you have experience in direct mail sales and mail list agreement?
__Yes __No
7. Which are the NEX1 target products you are interested in (check catalogue table of contents)?

  No Interest Somewhat Interested Very Interested
UTP Cable      
Keystone Jack      
Data Voice Outlet (DVO)      
Wall Plate      
UTP Patch Cord      
UTP Patch Panel      
Outdoor Armor Fiber Optical      
Outdoor Dielectric Fiber Optical      
Indoor LSZH Fiber Optical      
Fiber Optical Patch Cord      
Fiber Optical Enclosure      
IDC Tools      

Market Profile

1. Please describe how you would introduce and continue to promote the NEX1 products.
___________________________________________________________
___________________________________________________________

2. Will you assign special personnel for NEX1 sales?
___________________________________________________________
___________________________________________________________
___________________________________________________________

3. Will you agree to mutually-set sales quotas?
___________________________________________________________
___________________________________________________________
___________________________________________________________

4. In which region would you like to sell NEX1 products?
___________________________________________________________
___________________________________________________________
5. For the target territory: Will you have full regional coverage? If not, which cities or area do you expect to cover?
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

6. Please list the national and/or regional trade shows or event in which your company usually participates as an exhibitor.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

7. Please list the national and/or regional trade shows or event your company and/or customers usually attend.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
8. In which magazines, publications, journals, etc. do you usually advertise?
___________________________________________________________
___________________________________________________________
___________________________________________________________

9. What is your annual average advertisement and promotion budget?
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

10. What kind of promotion material (color catalogue, solution guide, technical specification, training) do you expect to get from NEX1?
___________________________________________________________
___________________________________________________________
___________________________________________________________