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Red Hat Society Licensee Application

If you are a retailer, please do not use this form. This is for use by product manufacturers only.

If your company is interested in being considered as a licensee, please complete the company profile below. To assist in the review process, we request that all applicants send an electronic image of their product. Please send electronic images to licensing@redhatsociety.com. Thank you!

Please note: only manufacturers with established distribution channels will be considered for review. Also, you will only receive a response if we are interested in pursuing a license.

Red Hat Society® Prospective Licensee Company Profile

Please provide the information below in as complete a form as possible. An incomplete form will slow down the review process. We appreciate you taking the time to fill this out, as it helps us make more informed decisions regarding prospective licensing partners.

*Denotes required fields
Company Information
Company Name:*
DBA:
Street Address (line 1):*
Suite Address (line 2):
City:*
State or Province:*
Postal Code:*
Country:
Phone Number:*
Fax:
Company Structure:*

Company Ownership:*
Approximate Annual Sales:*
Years in Business:*
Number of Employees:*
Company web site:

Contact Information
Contact Person:*
Title:*
Assistant:
Direct Line or Extension:
E-mail:*

Market/Distribution Information
Define type of business/industry:*
Who are your competitors? (Please name at least four)*
What is your estimated market share?* %
Number of trade shows you participate in annually:*
Do you have showrooms?*
If so, what are their locations?
How many sales reps do you have?* in-house reps
independent commissioned reps
Define your current distribution:* % Specialty Stores
% Department Stores
% Chain Stores
% Catalog Sales
% Internet Sales
% Own Retail Stores
% Other

Product Information
Do you own your own manufacturing facility?*
If so, where?
Are you a direct importer?*
Do you buy from distributors?*
List products you would like considered for a license:*
If you are awarded an RHS license, what are your expected sales?*
First Year:
Second Year:
Third Year:
Would you be willing to offer exclusive RHS product under a license?*
Do you provide in-house design and artwork?*
What is your "typical" delivery lead time for orders?*
Initial Orders: weeks
Reorders: weeks
Define your pricing structure:*



By clicking the "Submit Application" button below, you are submitting the above information to the licensing department of Imperium Distribution, Inc. (the company in charge of licensing the Red Hat Society brand). Your information will remain completely confidential.

Please click "Submit Application" only once. The computer may take a moment to respond.