JGL

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Distributors questionnaire

Specifications for sale

Corporate profile of the future partner

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Specifications for sale

User info
Company name:
Address:
Phone:
FAX:
Completed by:

1. What JGL brands are you interested in carrying:

Rx Pharma

OWN PRODUCTS

	Athyrazol tbl. 30x10 mg
	Benzylis benzoatis linim. 150 ml
	Diazepam tbl. 36x5 mg
	Disopyramide cps. 50x100 mg
	Dolocain gel 1% 25g
	Fluacet gel 0,025% 30 g
	Folacin tbl. 20x5 mg

	Isosorbide MN Jadran tbl. 20x20 mg
	Isosorbide MN Jadran tbl. 20x40 mg
	Isosorbide MN Jadran tbl. 60x20 mg
	Isosorbide MN Jadran tbl. 60x40 mg
	Potassium chloride Jadran tbl. 20x500 mg
	Clindamycine solution 1% 30 ml

	Lithium carbonate Jadran tbl. 100x300 mg

	Metopran tbl. 40x10 mg
	Rozamet 1% cream 30 g
	Sulpirid cps. 30x50 mg
	Timalen 0,25% 5 ml kapi za oči
	Timalen 0,50% 5 ml kapi za oči
	Ultra gel 300 ml

LICENSED PRODUCTS

	Amikin 500 mg
	Amphotericin B 50 mg
	Cefzil 250 mg/5 ml
	Cefzil 10 x 250 mg
	Cefzil 10 x 500 mg

	Duracef 12 x 250 mg
	Duracef 12 x 500 mg
	Duracef 250 mg/5 ml
	Duracef 1g
	Maxipim 1 g

	Maxipim 2 g
	Maxipim 500 mg
	Monopril 28 x 10 mg
	Monopril 28 x 20 mg

OTC

OTC drugs

	Carbo medicinalis tbl. 30x150 mg
	Carbo medicinalis gran. 50 g
	Dramina tbl. 10 x 50 mg

	Hepan gel 50.000 i.j. 50 g
	Hepan cream 50.000 i.j. 50 g
	Nafaborat 10 ml

	Nafazolin Jadran 0,05% nasal drops
	Nafazolin Jadran 0,1% nasal drops
	Paracetamol Jadran 150 ml (120mg/5ml)

GALENIC PREPARATIONS

	Ammonii sulfogyr. ung. 10% 25 g
	Acidi borici crema 3% 25 g
	Acidi borici ung. 3% 25 g

	Pasta zinci oxydi 25 g
	Glyceroli supp. for children X
	Glyceroli supp. for adults X

	Collodium keratolyticum 10 ml
	Prometazin cream 25 g
	Jecoris olei unguentum 25 g

HOLYPLANT OTC

	Septogal
	Septogal-D
	Septogal spray
	Purgal
	Plantain Syrup
	Marshmallow Syrup

	Gum Treatment Herb Drops
	Heart and Cirulation Herb Drops
	Tranquilizing Drops
	Gallbladder Herb Drops
	St. John's Wort Oil

	Antireumatic Ointment
	Horse Chestnut Balm 50 g
	Marigold Balm 50 g
	Arnica Balm 50 g
	St. John's Wort Balm 50 g

HOLYPLANT TEAS

	Marshmallow Root
	Chamomile
	Peppermint
	Sage

	Senna
	Heart and circulation
	Herbal Carminative
	Herbal Laxative
	Marhmallow

	Diet Tea
	Herbal Sedative
	Uroantiseptic
	Flower

AQUA MARIS

	Aqua Maris nasal spray
	Aqua Maris nasal ointment

OTHER OTC PRODUCTS

	D-Panthenol ointment
	D-Panthenol cream
	Dermospray

CO-OP PRODUCTS

JADRAN UPSA

	Upsavit (vit C; 1000 mg) 10 tablets
	Upsarin (vit.C & acetylsal. acid) 10 tbl
	Efferalgan (paracetamol 500 mg) 16 tbl

	Efferalgan (paracet. & vit C) 10 tbl
	Efferalgan (paracetamol 300 mg)

	Efferalgan (paracetamol 150 mg)
	Efferalgan (paracetamol 80 mg)

PROLIFE (JGL-ZETA)

	Prolife chewing tablets, 24 tbl.
	Prolife suspensions, 7x10 ml
	Prolife capsules, 20 caps.

Cosmetics

OWN PRODUCTS

HOLYPLANT NATURAL COSMETICS

	Vitamin Cream
	Nourishing Cream
	Moisturising Cream
	Hand Cream
	Cleansing Milk

	Almond Oil
	Shower Cream with Amond Oil 400 ml
	Shower Cream with Orange Blossom 400 ml
	Shower Cream with Algae 400 ml
	Body Milk with Almond Oil and Aloe Vera 200 ml

	Body Milk with Algae 200 ml
	Body Milk with Algae 200 ml
	Intimate Soap with Chamomile and Marigold
	Gala

MY LITTLE SUNSHINE

	SMM Cream
	SMM Ointment
	SMM Milk

	SMM Baby Oil
	SMM Ointment
	SMM Shampoo

	SMM Baby Powder
	SMM Physiologic solution

OTHER PRODUCTS FOR CHILDREN

	Baby Ointment 90 g
	Baby Ointment 350 g

FITLINE

Fitline Plus tablets

PARASOL

	Sun Milk
	Combusten Cream 50 g
	Sun Oil
	After Sun Lotion

GOOD GENIUS OF HOME

	Camphor
	Dr Bezz Lotion 100 ml
	Dr Bezz Roll-on 50 ml
	Dr Bezz Crema 50 mg

CO-OPERATION PRODUCTS

DERMOPLAST

	Waterproof strip band-aids 2 sizes 20 pieces
	Waterproof strip band-aids 5 sizes 30 pieces
	Transparent elastic waterproof strip band-aid 2 sizes 20 pieces
	Strip band-aid for children 15 pieces
	Hypoallergenic strip band-aids in 2 sizes 20 pieces

	Cornplaster with salycilic acid 6 pieces
	Protective cornplaster 4 pieces
	Protective cornplaster 9 pieces
	Rolled hypoallergenic band-aid 5 m x 1,25 cm

	Rolled hypoalergenic band-aid 5 m x 2,5 cm
	Rolled linen band-aid 5 m x 1,25 cm
	Rolled linen band-aid 5 m x 2,5 cm
	First aid mini package 1 piece

2. Registration.

a) Name products you chose to register.

b) Indicate documentation required by JGL for Registration.

c) Cost for Registration, per each specific product chosen for sale.

d) Time-frame for obtaining Registration. (If Registration takes longer then 6 months, indicate, in detail, what alternate methods can be used to speed-up process.)

e) Your terms and conditions for undertaking Registration.

3. Promotion

a) Indicate what type of promotion you need to accomplish sales, specifying type of promotion, cost for each type of promotion and promotional time frame per product.

b) Indicate budget amount you require for promotion of each product.

c) Your annual sales projections for each product.

d) Total annual sales projections for JGL per product.

4. Sales

a) Quantity of first order, per product

b) Terms of payment.

c) Terms of delivery.