CITEM.AMD.FR.

003
Rev 2

BUYER INCENTIVE PROGRAM

COMPANY INFORMATION
Company Name
Office Address
Country Website
 Importer  Retailer  Toll Packing
 Distributor  HORECA  Others (please specify)
Nature of Business
 Wholesaler  Manufacturer __________________
 Consolidator
Company’s Annual  Below US$ 500k  Below US$ 5 Million  More than US$ 10 Million
Sales Volume  Below US$ 1Million  Below US$ 10 Million
Any Existing Business Name of Supplier/s
 Yes
with Philippine
 No
Suppliers

PRODUCTS OF INTEREST
 Beverages  Meat and Poultry  Natural, Organic & Health Products
 Fine Food and Specialties  Dairy and Eggs  Raw Materials
 Fresh and Processed Fruits and  Grains and Cereals  Allied Industries
Vegetables  Marine Products
 Biscuits, Confectionaries, and Snacks

BUYER INFORMATION
First Name M.I. Last Name
Gender Nationality
Role in Company’s  Decision Maker
Official Designation Purchasing Activities  Recommendatory
Work Email Personal Email
Work Phone Number Mobile Number
Type of Buyer  New  Returning, last visit was ______________
Interested in Pre-  Yes Do you require an  Yes
Arranged Meetings?  No Interpreter?  No

ENDORSEMENT DETAILS
NOMINATOR’S INFORMATION
Name Email Address
Organization
VALIDATION AND APPROVAL
Validated by Processed by
ACTION TAKEN
Proposed Category
APPROVED DISAPPROVED OTHERS
MANAGEMENT’S INSTRUCTION/S

RECOMMENDING APPROVAL APPROVED BY

DC/DM DED/ED
 I hereby certify that the information declared in this Application are true and correct. Likewise, I understand that
the submission of same does not guarantee acceptance in the IFEX Philippines Buyer Incentive Program.