DBERRY
PARTNER APPLICATION
Case Postale 296 	   	   Tel:	 + 41 22 548 13 89
CH-1095 Lutry	       	   Email:	 Info@dberry.ch
Switzerland	 	       	   Web:	 http://dberry.ch
      PARTNER APPLICATION
    DBERRY S.à.r.l is an innova-
    tive, privately held firm that
    provides groundbreaking
    business solutions and key
    support for growing as well
    as established organisations.
    Based in Lausanne, Switzer-
    land, DBERRY specialises in:
    - Product Sourcing
    - Product Development
    - Distribution
    - Retail
    - Direct & Indirect Sales
    - Marketing Support
    - Logistics Management
    Using a global network of
    partners and international
    business contacts, DBERRY
    has secured exclusive pan-
    european and world-wide
    distribution rights to a wide
    selection of innovative prod-
    ucts and services, ranging
    from groundbreaking envi-
    ronmental applications to
    cost efficient, high quality
    consumer goods and serv-
    ices.
    Combined with a constant
    focused on quality, efficiency
    and innovation, DBERRY has
    become a recognized player
    in the field of business and
    consultancy services, dealing
    with reputable blue chip re-
    tailers, listed organisations
    and government agencies.
DBERRY
Case Postale 296 	   Tel:	 + 41 22 548 1389
CH-1095 Lutry	       Email:	Info@dberry.ch
Switzerland	 	       Web:	 http://dberry.ch	   	   	   	   	   	
INTRODUCE YOURSELF	
Please complete the following form and return via email to info@dberry.ch or by fax to +41 21 544 12 14. Please include
an extract of your trade registry (Registre Du Commerce).
COMPANY HEAD OFFICE	
Company Name:	        	       	    	      	      	      	      	      	      	      	      	      	      	
Road: 	 	      	      	       	    	      	      	      	      	      	      	      	      	      	      	
Postal Code, Town:	 	         	    	      	      	      	      	      	      	      	      	      	      	
Phone:		       	      	       	    	      	      	      	      	      	      	      	      	      	      	
Fax:	 	        	      	       	    	      	      	      	      	      	      	      	      	      	      	
E-mail: 	      	      	       	    	      	      	      	      	      	      	      	      	      	      	
Bank Connection: 	    	       	    	      	      	      	      	      	      	      	      	      	      	
Legal Form:	 	        	       	    	      	      	      	      	      	      	      	      	      	      	
Date of Foundation:	 	        	    	      	      	      	      	      	      	      	      	      	      	
At the present site since:	   	    	      	      	      	      	      	      	      	      	      	      	
Trade Register entry on: 	    	    	      	      	      	      	      	      	      	      	      	      	
TVA No:	       	      	       	    	      	      	      	      	      	      	      	      	      	      	
DIRECT CONTACT	
Manager
Name:		        	      	       	    	      	      	      	      	      	      	      	      	      	      	
First Name	    	      	       	    	      	      	      	      	      	      	      	      	      	      	
Direct Phone	 	       	       	    	      	      	      	      	      	      	      	      	      	      	
E-mail		       	      	       	    	      	      	      	      	      	      	      	      	      	      	
Head of Purchasing
Name:		        	      	       	    	      	      	      	      	      	      	      	      	      	      	
First Name	    	      	       	    	      	      	      	      	      	      	      	      	      	      	
Direct Phone	 	       	       	    	      	      	      	      	      	      	      	      	      	      	
E-mail		       	      	       	    	      	      	      	      	      	      	      	      	      	      	
Marketing Manager
Name:		        	      	       	    	      	      	      	      	      	      	      	      	      	      	
First Name	    	      	       	    	      	      	      	      	      	      	      	      	      	      	
Direct Phone	 	       	       	    	      	      	      	      	      	      	      	      	      	      	
E-mail		       	      	       	    	      	      	      	      	      	      	      	      	      	      	
Accounts
Name:		        	      	       	    	      	      	      	      	      	      	      	      	      	      	
First Name	    	      	       	    	      	      	      	      	      	      	      	      	      	      	
Direct Phone	 	       	       	    	      	      	      	      	      	      	      	      	      	      	
E-mail		       	      	       	    	      	      	      	      	      	      	      	      	      	      	
DBERRY
Case Postale 296 	    Tel:	 + 41 22 548 1389
CH-1095 Lutry	        Email:	Info@dberry.ch
Switzerland	 	        Web:	 http://dberry.ch	    	      	      	      	      	
GENERAL DETAILS	
- Is your business activity carried out full-time?
    Yes
    No
- How many employees do you have at present?
Permanent Employees:	           	      	     	           	       Casual Employees:	 	          	   	   	   	   	
- Does your company have any subsidiaries or branches?
    Yes
    No
- Do you have a physical Store location?
    Yes
    No
- Are you a member of a purchasing cooperative?
    Yes
    No
If yes, which one: 	      	     	      	     	           	       	        	        	       	   	   	   	   	   	
Member No:	 	             	     	      	     	           	       	        	        	       	   	   	   	   	   	
COMPANY’S MAIN ACTIVITIES
    Mail-Order Business
    E-Commerce Shop
    Specialist Retailer
    Small - Medium Surface Retail
    Large Surface Retail
    VAR (Value Added Reseller with Services & Support)
    Systems Integration
    OEM/Producer
    Other:_____________________________________________
CUSTOMER BREAKDOWN	
	         % Specialist Trade	 	        	     	           	       	        % Education Sector	 	    	   	   	   	
	         % Industry	     	     	      	     	           	       	        % Financial Sector	 	    	   	   	   	
	         % Government/Authorities	 	        	           	       	        % Others	        	   	   	   	   	   	
	         % Private Consumers	         	     	           	       	        	        	       	   	   	   	   	   	
DBERRY
Case Postale 296 	        Tel:	 + 41 22 548 13 89
CH-1095 Lutry	            Email:	Info@dberry.ch
Switzerland	 	            Web:	 http://dberry.ch	    	       	        	        	       	
SPECIALIZATION (EMPHASIS OF THE BUSINESS)	
    PC Systems 	       	     	      	     Preferred Producer:	 	             	        	   	   	      	    	
    Software	 	        	     	      	     Preferred Producer: 	 	            	        	   	   	      	    	
    Network segment		        	      	     Preferred Producer: 	 	            	        	   	   	      	    	
    Components	        	     	      	     Preferred Producer: 	 	            	        	   	   	      	    	
    Workstations/Unix		      	      	     Preferred Producer: 	 	            	        	   	   	      	    	
    Apple Products	    	     	      	     Preferred Producer: 	 	            	        	   	   	      	    	
    Consumer Electronics 	   	      	     Preferred Producer: 	 	            	        	   	   	      	    	
    Other	         	   	     	      	     Preferred Producer: 	 	            	        	   	   	      	    	
Do currently work in direct partnership with other Producers/Distributors/Suppliers/Manufacturers?
	       	          	   	     	      	     	          	       	       	       	        	   	   	      	    	      		       	          	   	     	      	     	          	       	       	       	        	   	   	      	    	      		       	          	   	     	      	     	          	       	       	       	        	   	   	      	    	      		       	          	   	     	      	     	          	       	       	       	        	   	   	      	    	      	TURNOVER 	
Which supply channels do you currently use?
    Specialist Trade
    Distribution
    Producer
    Others
Turnover in CHF per year? 	 	       	     	          	       	       	       	        	   	   	      	    	      	
What is your yearly Sales Breakdown?
	       % Consumer Electronics	     	     % Software	 	              	       Hardware	    	   % Services	 	      	
What is your estimated yearly purchasing volume through distribution?
Turnover in CHF?
      
     
      
     
          
       
       
       
        
   
   
      
    
      
Turnover with DBERRY S.à.r.l.      
     
          
       
       
       
        
   
   Estimated Value Requested
DBERRY
Case Postale 296 	     Tel:	 + 41 22 548 13 89
CH-1095 Lutry	         Email:	Info@dberry.ch
Switzerland	 	         Web:	 http://dberry.ch	   	       	       	       	        	
MODE OF PAYEMENT	
(I accept up to CHF 15’000.- pre-payment terms)
Thereafter:	
    14 Days Net
    LSV 14 Days Net
    PayPal 14 Days Net
MODE OF SUPPLY	
    Collection from DBERRY Warehouse
    Delivery to our company site
    Private Lable Delivery (with costs)
OTHER INFORMATION (OPTIONAL) 	
How did you learn about DBERRY S.à.r.l.?
	       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   		       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   		       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   		       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   	What is your main interest in cooperating with DBERRY S.à.r.l.?
	       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   		       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   		       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   		       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   	What do you look for in a distributor/supplier? Which qualities are important to you?
	       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   	
	       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   	
	       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   	
	       	       	      	      	       	    	         	       	       	       	       	   	   	   	   	   	
DBERRY
Case Postale 296 	     Tel:	 + 41 22 548 13 89
CH-1095 Lutry	         Email:	Info@dberry.ch
Switzerland	 	         Web:	 http://dberry.ch	   	       	       	       	       	
I herewith declare that I am in agreement with the general business conditions of DBERRY S.à.r.l.
	      	      	      	      	      	      	         	       	       	       	       	     	     	   	      	    	
Place/Date	   	      	      	      	      	         	       	       	       	       Signature
Please complete the following form and return via email to info@dberry.ch or by fax to +41 21 544 12 14. Please include
an extract of your trade registry (Registre Du Commerce).
Should you require any assistance with the completion of this form, kindly contact our Customer Service:
Tel:	 + 41 22 548 13 89
Fax: 	 + 41 21 544 12 14
Email:	Info@dberry.ch
DBERRY
Case Postale 296 	   Tel:	 + 41 22 548 13 89
CH-1095 Lutry	       Email:	Info@dberry.ch
Switzerland	 	       Web:	 http://dberry.ch