Questionnaire / Primary Contact Information

Product type *
First name *
Last name *
Phone number *
Email *

Company Address / Headquarters

House number *
Building
Floor
Village/Block (Moo)
Soi/Alley
Road
Subdistrict *
District *
Province *
Postal code *
Company/Business name *
Brand name *
Current product shelf life *
Revenue last year *
Number of employees *

Sales channels

Sales status: *

Product details

Upload product images *

Drag and drop files here or click to select (multiple files)

Supported files: .jpg .jpeg .png .pdf

Max size 5 MB per file

Product name (for multiple products, separate with /) *
Production capacity (if > 1 product, separate with /) *
Net weight / content (if > 1 product, separate with /) *
Shelf life (if > 1 product, separate with /) *
Product category *
Current retail price *
Does the product have an expiry date? *
Does the product have a barcode? *
Does the product have important test/analysis results? *
Do you have logistics in place? *

Product certifications

Product certifications *

Reasons for application

3 key points about the product *
Dreams, expectations and product development goals *
How did you first hear about Tops Tongtin? *