IBSA - International Business Solutions Alliance, LLC

Manufacturer

This application is for the purpose of creating a mutually beneficial relationship between International Business Solutions Alliance (IBSA), IBSA Distributor Affiliates, and IBSA Suppliers. IBSA intends to use their best effort and resources with their Affiliates to ensure participation and compliance with the terms of this application. Upon approval of your application, you will be asked to submit an IBSA monthly marketing program for the first year, a report showing your current business position with IBSA Affiliates, and an advance administrative fee.

First Name:	Company Name:
Last Name:	Email:

Address:
City:
State:	Zip:
Phone:	Fax:

Web Site URL:
Trade organizations you belong to:	DMIA PPAI	ASI None	Other, Please specify:
Number of Employees:
Number of years in business:
Parent company name:
Percentage of your business volume sold through distributors:
Do you own or control any distributor companies?	Yes No
Do the owners of any distributorship have a financial interest in your company?	Yes No
Do any distributor organizations have a business interest in your company?	Yes No
If yes, please list the affiliation:
What are your current payment terms:
Approximate volume manufactured last year:	Less than $6 MM $6 MM to $12 MM $12 MM to $24 MM		$24 MM to $50 MM $50 MM to $100 MM More than $100 MM
Approximate volume capacity possible right now:
Do you accept electronic art?	Yes No
Are you currently affiliated with any other distributor organizations?	Yes No
If yes, please list all affiliations:
Do you own or lease your buildings?	Own Lease
Do you have a solid verifiable credit history?	Yes No
How are your past 3 years of sales trending?	Up Flat Down
How do you project sales trending over the next 3 years?	Up Flat Down
Has your firm been involved in a merger in the last 5 years?	Yes No
Do you have multiple facilities?	Yes No
If so, list the locations:
Which is most likely to happen with your company:	Expand Current Operations Add Other Product Lines Buy Another Company Merge With Another Company Stay the Same We Are Evaluating Options Other
Which situation best describes your current sales:	Never Been Better Could be Better, but Still Doing Good Business is Soft Business Needs to Get Better None of the Above Other
Where do you see your company in 5 years?	About the Same Don't Really Know Surviving Going Strong Other
If your business did not change much the next 5 years that would be:	A Good Situation A Bad Situation A Disaster
Does your company currently have expansion plans?	Yes No
Describe your product line:
Which best describes your products:	Traditional Niche Exclusive Value Added
Which best describes what you do?	Wide Product Line One Stop Shop Specialty
Which best describes the norm of what you do?	Rush Delivery Standard Delivery Close and Ship
Which best describes what you want to have?	A Few Large Customers Many Small Customers A Good Mix of Both Not Sure Other
What is most important to your company?	Large Customers Small Customers Prompt Pay Clean Orders
Which best describes what you want to have?	One Shift Two Shifts Three Shifts Not Sure
Which best describes what you want to have?	Prompt Pay Customers Customer Paying Regular Terms Large Customers Even if they Pay Slow Not Sure
If you were going to purge one type of customer from your system what best describes that customer?	Slow Pay Accounts Small Customers Large Accounts High Maintenance Accounts
How did you hear about IBSA?	IBSA Affiliate IBSA Vendor Newspaper/Trade Publication Article Newspaper/Trade Publication Ad Trade Show Exhibit Other
How would you describe your understanding of IBSA's business plan:	Don't Know Much About their Plan Understand the Basics Completely Understand Know Nothing Really
Whose business model does IBSA sound most like to you:	Proforma Aptco, American Safeguard Moore, Standard Register Other None of the Above
Please list unique or exclusive capabilities that your firm can offer IBSA affiliates, or any other aspects of your business that merit special consideration as we evaluate your application.