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Questionnaire for 
Suppliers 
to the Tobacco Industry

 

This is a: NEW listing REVISED listing

Company Name:

Address 1:

Address 2:

Address 3:

City: 

State/Province:

Zip/Postal Code:

Country:

Phone1:

Phone2:

Fax1:

Fax2:

E-Mail:

Website:

Personnel:

Name: Title:
Name: Title:
Name: Title:
Name: Title:
Name: Title:
Name: Title:

 

Please give us a brief description of your organization's PRODUCTS/SERVICES 
or FACILITIES as they relate to the tobacco industry.

 

Regional/Branch Locations: (or skip to next section)

Branch Name: 

Address 1: 

Address 2:

City: 

State/Province:

Country:

Zip/Postal Code:

Phone:

Fax:

E-Mail:  

Website:

Branch Name:

Address 1:

Address 2:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

Fax:

E-Mail:

Website:

 

Select ONE of the categories listed as your MAJOR PRODUCT LISTING

Major product listing:   

Then you may choose up to three other categories for your supplemental listings.

Supplemental category 1: 

Supplemental category 2: 

Supplemental category 3: 

 

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: