DISTRIBUTOR OLUN

Company Name

Address

City

State

Zip Code

Phone Number

Email Address

Website

Contact Person Name

Title/Position

Contact Person Phone Number

Contact Person Email

Business Overview

Type of Business

RetailFood Service

Type of Regime

AmbientChilledFrozen

Type of Product

FoodNonfoodFood & Nonfood

Years in Business

0 - 11 - 55 - 10>10

Number of Employees

1 - 55 - 1010 - 50>50

States Currently Served in USA

Products Currently Distributed

Target Market

Estimated Monthly Sales Volume for Gourmet212 Products

Agreement

I hereby certify that the information provided is accurate and complete.