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Questionnaire for 
 Tobacco Associations 
and  Marketing Organizations 

 

This is a: NEW listing REVISED listing

Company Name:

Address 1:

Address 2:

City: 

State/Province:

Zip/Postal Code:

Country:

Phone1:

Phone2:

Fax1:

Fax2:

E-Mail:

Website:

Personnel:
Name: Title:
Name: Title:
Name: Title:

 

Please give us a brief description of your organization's principal purpose or area of service as it relates to the tobacco industry.
 

Please list all Branch or Regional locations.

Branch Name: 

Address 1: 

Address 2:

City: 

State/Province:

Country:

Zip/Postal Code:

Phone:

Fax:

Branch Name: 

Address 1: 

Address 2:

City: 

State/Province:

Country:

Zip/Postal Code:

Phone:

Fax:

Branch Name: 

Address 1: 

Address 2:

City: 

State/Province:

Country:

Zip/Postal Code:

Phone:

Fax:

 

Thank you for your time and attention.
If you would like to submit additional information for your listing or 
have questions, please email globalguide@tobaccoreporter.com

In case we have questions:

Name:

   

 Email: 

Phone: