Contact Details:
Company Name

Shipping Address		City		State		Zip
Billing Address		City		State		Zip
Company Phone		800#		Fax
E-Mail Address		Web Site

Contact 1 Name Title Phone Contact 2 Name Title Phone Contact 3 Name Title Phone
Business Type:
Customer Type National Home Center Distributor Dealers Co-Op & Buying Group Industry Fence / Gate Security / Access Control Retail Area National / Regional Local Internet (>20%) Other:
What are their target market segments?
% Dealer Sales % Gates & Openers % Farm & Ranch % Installs % Fence % Hardware % End User % Security / Door / Other % Equine
What are current Annual Sales?
$50,000-$99,999 $100,000-$249,000 $250,000-$749,000 $750,000-$1.49 Million $1.5-$3 Million $3-$5 Million $5-$7.5 Million $7.5-$10 Million Over $10 Million
What is annual purchasing potential?
$10,000-$24,999 $25,000-$49,999 $50,000-$99,999 $100,000-$149,000 $150,000-$199,000 $200,000-$449,000 $450,000-$749,000 $750,000-$1,000,000 Over $1,000,000
Personnel Information:
Sales Personnel Gates Product Types No. Of Inside Sales No. of Stores No. of Techs No. of Outside Sales No. of Members No. of Gate Techs
Product Lines and Volumes:# of Units/Year
Gate Operators Gates Product Types Mighty Mule No. of Single Gates Chainlink Zareba No. of Dual Gates Metal Tube/Panel Chamberlain     Ornamental
Advertising Information (Check all that Apply)
Has regular ad program Would use co-op funds Does special promotions Uses print ads Uses TV ads Uses internet ads Uses trade ads Uses Cable ads Other forms of advertising
Additional Comments             Special Literature Needs