/ Buyer’s Registration Form
Show Dates: Wednesday – Friday
April 5-7, 2017. Lima- Peru

Note: Fields marked with an asterisk (*) are required.

I. COMPANY INFORMATION

*Company Name
Brands
*Address
*City / *State/ Province / *Country
*Postal Code / *Phone Number / *Fax Number
*Web Site
*Contact Name 1 / *Las Name 1 / *Position
*Direct Number / *Mobile / *E-mail
*What role do you play in purchase decisions?
Sole responsibility / Joint responsibility / Advisory Influence / No influence
Will the Contact 1 be attending the show? / Yes / No
Contact Name 2 / Last Name 2 / Position
Direct Number / Mobile / E-mail
What role do you play in purchase decisions?
Sole responsibility / Joint responsibility / Advisory Influence / No influence
Will the Contact 2 be attending the show? / Yes / No
* Number of employees / *Founded in
*Annual Sales (last year) US$ / *Annual Imports (last year) US$
*Origin of Imports
Product / Source / Percentage
* Business Activity / * Price Level / * Market Segment / *Company Size
Purchasing agent / Wholesaler / Designer / Men / Large
Distributor / Department Store / Bridge / Women / Medium
Chain store / Online Sales / Better / Children / Small
Specialized Store/ Boutique / Discount Stores / Moderate / Babies
Mail order / Budget
PLEASE, SPECIFY YOUR COMPANY PRODUCTS:
* Please, Indicate if your company products are sell in stores
Yes / No
If Yes, select: / Own Stores / Franchises or others
Total number of stores in the country:
Total number of stores worldwide:
  1. INTEREST AT PERÚ MODA*

Lines:

Apparel / Accessories / Footwear / Jewelry
Bijouterie / Please, mark with an X if you are interested in Perú Gift Show products.

Mark with an “X” according to your business interests:

APPAREL
Main Material
Cotton / Alpaca / Leather / Denim / Alpaca fur / Others (specify):
Type of Fabric / Type of Production
Knitted / Woven / Handmade / Semi-industrial production / Industrial production / Furriery
Target
Women / Men / Children / Babies
Products
T-Shirt / Sweatshirts/ Hoodies/Tees / Underwear / Swimwear
Polo Shirt / Jackets / Socks / Shorts
Sweaters/ Cardigans/ Pullovers / Vests / Babies garments / Bermudas
Shirts / Pants / Sportwear / Pajamas
Blouses / Leggings / Skirts / Jumpsuits
Coats / Ruanas/ Capes / Dresses / Others:
ACCESSORIES
Main Material
Cotton / Alpaca / Textile / Synthetic Fabrics / Leather/ Fur / Faux Leather / Alpaca Fur / Plastic
Type of Fabric / Type of Production
Knitted / Woven / Handmade / Semi-Industrial Production / Industrial Production / Furriery
Target
Women / Men / Children / Babies
Products
Scarfs/ Shawls/ Gloves/ Hats / Wallets / Belts / Handbags
Small accessories / Suitcases
FOOTWEAR
Main Material
Textile / Leather/ Fur / Faux Leather / Plastic
Type of Production
Handmade / Semi-industrial production / Industrial Production
Target
Women / Men / Children / Babies
Products
Boots / Sandals / Booties / Flats
Pumps / Slippers / Sneakers
JEWELRY
Main Material / Type of Production
Gold / Silver / Handmade / Industrial production
Target
Women / Men / Children / Babies
Products
Earrings / Tie pins / Rings
Bracelets / Necklaces/ Pendants / Cufflinks
BIJOUTERIE
Main Material
Non precious metals / Leather / Textile / Wood / Recycled materials
Type of Production
Handmade / Industrial
Target
Women / Men / Children / Babies
Products
Earrings / Tie pins / Rings
Bracelets / Necklaces/ Pendants / Cufflinks
Are you interested in doing business with Peruvian brands/ Peruvian designers? / Yes / No
  1. Business with peruvian companies

Has your company previously done business with Peruvian companies?* / Yes ( ) / No ( )
Please, name the companies:
How did you contact the companies?
Direct contact / Market research / Trade Show / Internet
Business Meetings / Visits / Others:
Indicate the products or services you got (specify):
In case you are interest in a specific company, please submit its information:
Name of the company
Contact person
  1. PARTICIPATION IN TRADE SHOWS

¿Has your company previously visited PERÚ MODA? If Yes, please mention the edition (year) / Yes ( ) / No ( )
Has your company participated in other international trade shows? If Yes, please name the trade show. / Yes ( ) / No ( )
As visitor ( ) / As exhibitor ( )
  1. aDDITIONAL INFORMATION

How did you hear about the trade show? / Commercial Office ( ) / Others ( )
Which one? / Specify:
Comments:

*You will receive a notification from PROMPERU regarding the company evaluation results to the email address that appears in the section: Company Information.

Contact us:

Website: – E-mail:

Phone: +51 1 616 7400 Ext: 2617