Be our Partner

- About your company
- Name*
- Address*
- Telephone*
- Website
- Primary contact
- Name/Function*
- Mobile*
- Email*
- Business information
- Business established since (year)*
- Type of business*
  - Manufacturer
  - Reseller
  - Distributor
- Nº of branch office*
- Is your company accredited for Quality Management?*
  - Not yet
  - ISO
  - Not accredited for, but complying the norms of ISO
  - Accredited by the authority of your country
  - Others
- ISO (specify)*
- Not accredited for, but complying the norms of ISO (specify)*
- Others (specify)*
- Total turnover (VAT excluded) in Euro*
  Year Euro
- Brand/Company you are actually commercializing in aesthetic dermatology or other specialty*
- Employees
- Company's Organizational Chart can be attached
- Total Nº*
- Nº of Sales Rep. in total*
- Nº of Sales Rep. you will dedicate to our products*
- Product Manager for our products*
- Other employees
- Nº of Sub-dealer*
  - 1-5
  - 6-10
  - 11-20
  - >20
- Market information
- Markets/countries covered*
- How many sales channels you could develop with our products*
  Sale channel Number
  
  Hospitals, clinics, pharmacies, drugstores, beauty centers, etc.
- Interested brand or product from FL*
- Which competitors are in your market for that Brand or product?*
- Main players and products in your country for those products*
- Most important factor for sales of those products in your country?*
  - Quality
  - Prices
  - Specifications
  - Brand value
  - Connection with key men
- Registration
- How long will take the registration process in your country for Cosmetics?*
  - 1-3 month
  - 4-6 month
- How long will take the registration process in your country for Medical Devices Class IIa or III?*
  - 1-3 month
  - 4-6 month
- NDA
- Download the NDA and upload it after signing.
  DOWNLOAD NDA
- Upload NDA
- Upload NDA*
- Uploaded*
  - Uploaded
Consent*
I accept the Privacy Policy*
Name
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Year	Euro

Sale channel	Number

About your company

Primary contact

Business information

Employees

Market information

Registration

NDA

Download the NDA and upload it after signing.

Upload NDA