New Vendor Application

			* required fields
			Company Information
	* Company Name:
	Address 1:
	Address 2:
	City:
	State:		Select State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KA KY LA ME MD MA MI MN MI MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
	ZIP:
	Country:
	Are you a public company?		Yes    No
	If Yes, Stock Symbol:
	* Number of employees:
	* Year established:
	Is your company currently or has it ever been party to a lawsuit with a customer?		Yes    No
	Fiscal Year-end (month):		Select Month January February March April May June July August September October November December
	What percentage of your revenue is from the United States (U.S.)?		%
	* Last year's revenue:		* All Products:
			$
			* Products Submitted:
			$
	* Projected revenue this year:		* All Products:
			$
			* Products Submitted:
			$
			Contact Information
	* Primary Contact:
	Phone:
	Fax:
	* E-mail:
	Web Site URL:
			Channel Information
	Percentage of sales to End Users:		%
	* Percentage of sales to Resellers:		%
	* Percentage of sales to Distributors:		%
	* Number of current customers:
	Number of current U.S. resellers:
	Will you be transitioning resellers through a distributor?		Yes    No
	If yes, how many:
	Number of U.S. Field Sales reps:
	Number of U.S. Inside Sales reps:
	Are your products offered through distribution?		Yes    No
	* If yes, which distributors do you use?
	Total number of units shipped annually (units sold and returns):
			Product Information
	* Select the Sub-Categories which best describe your products: (check all that apply)		Books Academic Business Childrens Social Sciences/Religion Educational Other
			New Age Products Books Music Periodicals Incense Jewelry Oils Other
			Planning Services Retreat Work Shop
			Christian Products Jewelry Books Gifts Other
			Candles Aromatic Tea Light Floating Evaporating Candle Burner Other
			Services Publishing Services Printing Services Electronic Publishing Services Audio Recording Services CD Manufacturing Services Packaging Services Other
			New Age and Christian Gifts Wooden Plastic Polymer Glass Stone Metal Paper Poly Stone Other
	Enter other type:
	* Brief description of products/services:
	* Average Product MSRP:		$
	Average Product Price to Distributor:		$
	Average Distributor Margin:		%
	If service how often do you bill? (check all that apply)		Monthly  Quarterly  Yearly  Usage-based
	Certifications:		Required Offered
	Authorizations:		Required Offered
			Customer Information
	Types of Indirect Customer/Channels sold into: (check all that apply)		Direct Marketer  VAR/Solution Provider  Corporate Resellers Wholesaler Retail Other
	Types of vertical markets sold into: (check all that apply)		Healthcare   Financial   SMB   Government Education  Enterprise  Other
	List your key technical/business partners:
	List your key resellers/customers and purchasing commitments:
	List your key competitors:
	List your key competitive advantages:
			Marketing Information
	* What is your marketing budget for this year?		$
	Which marketing vehicles do you currently use? (check all that apply)		Direct Mail  Print   Trade Shows Web Advertising  Other
	Please describe how you are generating demand for your product in the reseller market:

New Dawn Press will treat as confidential, and will not disclose to any third party, vendor's non-public financial information as provided on or in support of this Vendor Application.  Vendor will, upon request, provide New Dawn Press with sales and marketing information relating to vendor's business, including information that is requested herein. Vendor agrees that New Dawn Press may disclose to third parties, including but not limited to New Dawn Press customers, such sales and marketing information regarding vendor's business.

Please note:  New Dawn Press does not pay for evaluation products.  DO NOT send evaluation products unless requested to do so. All products submitted for evaluation become the property of New Dawn Press .

© 2004, All rights reserved