Inquiry form

If you are interested in our quote, please fill in the form.

Company

Name

Surname

E-mail

Phone

Web site

Are you already on the market or you are starting?

What is your distribution plan?

Number of employees

Of that sales persons?

Forecast for 1st year

Forecast for 2nd year

Forecast for 3rd year

Are you looking for one or multiple products?

Please specify in case of multiple products

Target customer group?

Target customer age

Do you have any experience with similar products?

Yes
No

Would you like to help with the development?

I want help
I have the recipe Fee 15 000 Kč per recipe, will be returned in 1st invoice

Do you need notification

Yes
No

What is your annual demand?

MOQ is 100 000 tablets and/or 20 000 sachetes

Volume

in package pcs/ml

Form of product

Primary packaging

Do you arrange the raw material by our own?

Yes
No raw material, packaging

These components will be arranged by me

Note

I agree with processing of personal data