International Buyer Program

You are kindly requested to fill out the following for process of the buyer nomination:
* please fill out in ENGLISH and tick where applicable.

Buyer Details
Name / Surname
Company Name
Office Address
City / Post Code / Country
Job Title / Phone
Mobile / Fax
Email
Website
Company’s profile:
 Pharmacy owner/chain owner
Importer/distributor/ wholesaler  Full service distribution with stores
 Open line distribution with stores / Designer/architect/interior designer/consultant
Laboratory
 Other, specify______
Company’s business sector:
Health Care and Parapharmaceutical
Nutrition & dieting
 Organic/Natural
 Skincare
Pharmaceutical
Service “in” & “for” the pharmacy
 Packaging/Contract Manufacturing/Private Label
 Furniture for the pharmacy shops
Company’s main interest is to source product suitable for:
 Pharmacy
 Drug Stores
Herbalist Shop
Laboratory
Spa and health club
Medical aesthetic center / Clinique
 Independent Boutiques / OTC’s
Beauty salon
Clinic Center
 Others, please specify______
Company background information:
  • Years of establishment?
  • What is your annual sales and import turnover?
  • How many brands you are distributing in your country?
  • What kind of products you are carrying? (e.g. PHARMACEUTICAL, PARAPHARMACEUTICAL AND HEALTH CARE PRODUCTS; SKIN CARE AND COSMETICS; NATURAL PRODUCTS; …)
  • Please specify your main brands distributed______
  • What is the major importing country of your products?______
  • Are you a sole agent of any brand? If yes, please indicate______

What is the importing countries and type of productswill you be interested in buying at Cosmofarma?______

Please identify product categories that you would like to see as part of the pre-scheduled meetings:

Pharmaceutical Sector
□ Medical products
□ Generics
□ Raw materials
□ Galenic medicines
□ Homeopathic products
□ Phyto-therapeutic products
□ Veterinary products
Parapharmaceutical Health Care Sector
□ Nursing accessories
□ Mineral Waters
□ Inhalators
□ Medical products
□ Sanitary towels
□ Scales
□ Physiologic shoes
□ Graduated-compression stockings
□ Disinfectants for personal hygiene
□ Electric-operated equipment
□ Gels for ultrasound and echography
□ Infancy toys
□ 24 hour-pressure Holter
□ Hydropulse - jets
□ Thermal prongs
□ Blood heat digital indicators
□ Anticellulite clothes
□ Repellents against insects
□ Contact lens
□ Gynaecologic products
□ Foot-care products
□ Puericulture
□ Medication
□ Pre-framed glasses
□ Massage chairs
□ Dental products
□ Eye products
□ Orthopaedic products
□ Products for domiciliary aid
□ Products for adults’-children’s incontinence
□ Hypoallergenic sleeping products
□ Products for ear hygiene and treatment
□ Contraceptives
□ Oxygen therapy
□ Ventilation therapy
□ Sphygmomanometers
□ Disposable syringes and needles
□ Ear piercing systems
□ Self-diagnosis tools
□ Tens
□ Thermometers
□ Diagnosis tests
□ Elastic orthosis
Natural Products, Nutrition and dieting sector
□ Supplements products
□ Nutraceutical products
□ Special food products
□ Biological agricolture products sold in pharmacies
□ Diet products
□ Hyposodic products
□ Children’s products
□ Gluten free products
□ Minerals and Vitamines
Skincare and Cosmetic sector
□ Cosmetic accessories
□ Clays
□ Transdermic plasters
□ Manicure sets and instruments
□ Raw materials for Cosmetic Industry
□ Essential oils
□ Natural & Bio Cosmetic products
□ Children’s products
□ Hair and Scalp care products
□ Body products
□ Make-up products
□ Face products
□ Products for personal hygiene
□ Products for oral hygiene
□ Hand, foot, nail products
□ Sun products
□ Thermal products
Services for the Pharmacy
□ Professional clothes
□ Furnishing accessories
□ Professional refreshing and training Courses
□ Promotional material and fitt
□ Furniture
□ Aspirators
□ Electronic showcases
□ Precision and analytical balance
□ Weighing scales
□ Artistic and pharmacy pottery
□ Air-conditioning systems
□ Prescription recording
□ Glass, metal and plastic containers
□ Led cross shaped graphic indicators
□ Automatic dispensers
□ Dispensers for creams and liquids
□ Luminous displays
□ Electronic labelling
□ Refrigerators
□ Packeting machines for cosmetic products
□ Information technology and database
□ Luminous signs
□ Intermediation
□ Electronic inventories
□ Laboratory (equipment and appliances)
□ Contract manufacturing
□ Barcode scanners and terminals
□ Automatic medicine distributing machines
□ Filling machines and capsule packing machines
□ Tube-filling and casefilling machines
□ Homogenizers
□ Packaging
□ Medicine distributing devices
□ Ph-meters
□ Pillbox
□ Window design and fitting
□ Collection, transport and disposal of
Expiredpharmaceutical products
□ Graphic thermometers
□ In-door luminous screens
□ Merchandising signs
□ Telemedicine services
□ Financing, insurance and consulting services
□ Internet for the pharmacy
□ Data transmission services, Marketing and
Market research
□ Automatic sphygmomanometers
□ Shoppers
□ Videocommunication systems
□ Video surveillance and devices against shoplifting
□ Disposal of Ass.inde expired returned products
□ Skin analisys instruments
□ Instruments for alimentary intolerance test
□ Interior designs
□ Scrolling luminous totems
□ Turbo emulsion makers
□ Sample cases
Distribution

□Intermediate distribution

□ Depositary-License

Thank you for your co-operation.

(Art. 23 Legislative Decree no. 196 of 30 June 2003 “Personal Data Protection Code”)

Having read the notice, I specifically grant my consent for my personal data to be processed through the indicated procedures, including communication to the mentioned parties and/or transfer outside Italy:

I consent for the purposes referred to in section B) of the notice

I consent for the purposes referred to in section C) of the notice

Date______Signature______