Contact Info

Please give us the contact info for the primary contact.

First Name *

Last Name *

Job Title *

Phone *

Email *

Company Info

What is your company's legal name? *

Address

Street Address *

City *

State *

Country

Postal code *

Website *

What is your business structure? *

How long have you been in business? *

Financial Stability

Do you have liability insurance? *

Yes

No

Please attach a certificate of insurance. *

We need to see proof of financial stability, either 2 years of financials or the growth percentage YOY for the past two years. *

Can you provide us reports that include all sales and detailed data by customer on a monthly basis that was brought to you by KIC? *

Yes

No

Compliance & Legal

Are you compliant with all local, state, and federal regulations? *

Yes

No

If no, please explain. *

Do you have any pending or past legal actions against your company? *

No

Yes

If yes, please explain. *

Products/Services Offered

What products or services do you provide? *

What is your pricing structure? *

Can you offer discounts/discount codes for our customers? *

Yes

No

Other

Quality Assurance

Can you provide case studies from past clients that look like us? *

Yes

No

If yes, please attach. *

Technology & Security

What systems or platforms do you use? *

How do you ensure cybersecurity and data protection? *

Are you able to give us a link and discount code so our customers can have ease of purchasing from you? *

Yes

No

References & Past Performance

Can you provide at least three business references? *

Yes

No

If yes, please attach references.

Have you worked with companies in our industry before? *

Yes

No

Review and Submit

By checking this box, I confirm that the information provided is accurate to the best of my knowledge and consent to be contacted by Korsgaden Insights Community using the details submitted. I understand that submission does not guarantee approval and that materials may be reviewed for internal evaluation purposes.