Vendor Profile Form

FOR PRODUCTS/SERVICES/WORK

1. Name of Company:


2. Street Address:


3. Telephone:

P.O. Box :

City:

4. Fax :

Zip Code : Country:

5. E-Mail :


6. Contact Person: Title:


7. Legal Status (e.g. Partnership, Private Limited Company, Government Institution)



8. Year Established:

9. Number of Employees:

10

11.

12. Type of Business/Products: Artist Books/Comics Collectibles Pop Culture

Group/Organization Researcher Media

14. References (your main customers, country, year and technical field of products, services or work): **





15. Examples of what you sell, Promote or Advertise







17.List of Products/Services/Media you offer at your booth


Product/Service/Group/Media





























Questionnaire completed by:


18.Name: Title: Signature: Date:


FOR DISCLOSUR-CON USE ONLY

19. Evaluated By: Initials Date:



20. Updated By: Initials Date:



21. Remarks:






22. Vendor Registration Number Allocated: Not Accepted: