Exhibit 10.17
-------------
INTERNATIONAL DISTRIBUTOR AGREEMENT
-----------------------------------
December 12, 2000
Xx. Xxxxxxxxxx Xxxxxxxx
MDH s.r.l. Forniture Ospedaliere
Xxx Xxxxx Xxxxxx, 00
00000 Xxxxx
Xxxxx
Dear Gianfranco:
This letter is the agreement ("Agreement") between MDH s.r.l. Forniture
Ospedaliere ("you") and XXXX Medical Systems, Inc. ("XXXX ") under which you are
appointed as a distributor in the territory described on Exhibit A to this
Agreement (the "Territory") of the XXXX-branded products listed on Exhibit B to
this Agreement (the "Products"). This Agreement constitutes the entire agreement
and understanding of the parties with respect to the subject matter of this
Agreement and supersedes all prior discussions, agreements and understandings,
including, without limitation, that certain International Distributor Agreement
between XXXX and you made as of December 21, 1998 and amended September 27,
1999. The terms and conditions under which you will act as XXXX 's distributor
are as follows:
1. PRODUCTS AND TERRITORY
----------------------
You shall act as RITA's distributor in the Territory (described in
Exhibit A) to promote, sell and distribute the Products (described in
Exhibit B) in the approved "Field of Use" and to provide service with
respect to the Products to the Medical Community. The approved Field
of Use is liver cancer. RITA's action or failure to act with respect
to this Field of Use restriction shall not in any way serve to waive
or limit its current or future rights with regard to this provision.
As used in this Agreement, "Medical Community" means medical doctors,
institutions such as hospitals and clinics, and similar institutions
that are active in the personal care of patients. You are not
authorized to sell any Products to any of your competitors or to any
of RITA's competitors without RITA's prior written consent. You shall
not actively solicit orders from customers domiciled outside the
Territory, or sell or deliver any Product to any customer that is not
in the Territory. Notwithstanding the foregoing, from time to time,
you may be asked to sell or deliver Products (or you may have sold or
delivered Products) to customers in nations outside the Territory but
within the European Economic Area (EEA). You may only sell or deliver
Products to such customers with RITA's prior written consent for each
order or shipment, which will specify
+ Material has been omitted pursuant to a request for confidential treatment,
and such material has been filed separately with the SEC.
the terms on which such a sale or delivery are acceptable to XXXX. In no
event does any such sale or delivery or RITA's consent to such a sale or
delivery confer on you any rights to sell or deliver Products or provide
services to such a customer in the future, no does any such sale or
delivery entitle you to request any future compensation regarding that
customer. Further, in case XXXX does not consent to the sale or delivery of
Products to a customer outside the Territory, as described above, you shall
not have any rights to any indemnification or compensation for your
activities related to that customer. Furthermore, you shall not appoint any
distributor or any agent or maintain any sales, service or stock facility
outside the Territory with respect to the Products. A breach of the
obligations of this Section 1 shall be considered a failure to fulfill a
material obligation under this Agreement.
2. SALES PROMOTION AND REPORTING RESPONSIBILITIES
----------------------------------------------
You shall be obligated to actively promote RITA's products according to
Section 1 above, at your sole expense. This includes, but is not limited
to, the activities described below in this Section. You shall attend and
exhibit at all major trade shows in your Territory related to the Products.
You shall provide training and clinical education to all of the customers
in your Territory. You shall provide appropriate promotional materials in
the language of your Territory, and XXXX shall have the right to review and
approve promotional materials in advance. You shall be obligated to provide
a sales report to XXXX on a monthly basis, by the 15th of the month
following the reporting period, which details your sales to customers,
including the customer name, quantity and selling price as well as the
current inventory status of all Products which are in your possession at
the end of the month on copies of the form attached as Exhibit F to this
Agreement (or such form as XXXX may provide from time to time). You shall
provide to XXXX, on request, copies of any tenders for the Products in your
Territory. Prior to the commencement of each succeeding one year period
under this contract ("Succeeding Year"), you shall provide to XXXX a
business plan that describes your results for the prior year and your plans
for the coming year.
XXXX shall be obligated to provide you with such technical support as may
be deemed necessary by XXXX to provide you with a full understanding of the
Products. XXXX shall also provide you with a reasonable number of its then
existing catalogs, brochures and other promotional materials in the English
language to facilitate your promotion of the Products.
Failure to provide monthly sales/inventory reports, annual business plan
and copies of any tenders for the Products in your Territory shall be
considered failures to fulfill material obligations of this Agreement.
3. ORDERS AND MINIMUM PURCHASE QUANTITIES
--------------------------------------
All purchase orders shall be governed by the terms of this Agreement and
XXXX 's standard acknowledgement form, provided that if any conflicts shall
occur, this Agreement shall prevail.
For the purpose of securing orderly shipments, you shall submit to
XXXX a rolling four (4) calendar quarter forecast of orders for the
Products at the beginning of each calendar quarter. The first rolling
forecast is due within thirty (30) days of the signing of this
Agreement. The first two (2) quarters of the rolling forecast shall
be binding. Obligations to purchase or supply product shall be
binding only while this Agreement remains in effect.
In the first year of this Agreement, you shall purchase the minimum
quantity of Products in each of the four (4) quarters set forth on
Exhibit C. In Succeeding Years, the minimum quantity of Products to
be purchased shall be as agreed between the parties in writing at
least thirty (30) days prior to the start of each Succeeding Year.
If additional products are added by XXXX to the Products listed in
Exhibit B, then the minimum quantity of Products to be purchased
shall be as agreed between the parties in writing at least sixty (60)
days in advance of the Product addition.
Failure to purchase the minimum quantity of products in each calendar
quarter and/or failure to provide a rolling four (4) calendar quarter
forecast of orders for the Products at the beginning of each calendar
quarter shall be considered failures to fulfill material obligations
of this Agreement.
4. RETURNS
-------
Products may only be returned with the prior written approval of
XXXX. Any such approval shall reference a return material
authorization number issued by XXXX. Repair and transportation costs
for returned Products not under warranty shall be borne by you.
Repair and transportation costs for returned Products under warranty
shall be borne by XXXX, provided, if XXXX determines that the
returned Products were not defective, such costs shall be borne by
you.
5. PRICES
------
In the first year of this Agreement, you shall pay for Products the
prices ("Prices") listed on Exhibit D hereto. Beginning with the
second year of this Agreement, Seller may make unilateral adjustments
to Product prices with sixty (60) days prior written notice.
If additional products are added by XXXX to the Products listed in
Exhibit B, then the Prices shall also be as agreed between the
parties in writing at least sixty (60) days in advance of the Product
addition.
6. PAYMENT
-------
Full payment of your purchase Price for the Products (including any
freight, taxes or other applicable costs initially paid by XXXX but
to be borne by you) shall be in United States of
America dollars. All exchange, interest, banking, collection, and
other charges shall be at your expense. Payment terms shall be at
RITA's sole discretion and advised to you at time of order
acceptance. Terms will be either documentary collection with draft at
120 days from date of acceptance, cash in advance, or open account
net 90 days from invoice date. Determination of payment terms will
depend upon the status of your payment history and outstanding
receivables balance. Any invoiced amount not paid when due shall be
subject to a service charge at the lower of the rate of one and one-
half percent (1.5%) per month or the maximum rate permitted by law.
If you fail to make any payment to XXXX when due, XXXX may, without
affecting its rights under this Agreement, cancel or delay any future
shipments of the Products to you. Further, such a failure to pay
shall be considered a failure to fulfill a material obligation under
this Agreement.
7. COMPLAINTS
----------
If you receive any written, electronic or oral communication that
alleges deficiencies related to the identity, quality, durability,
reliability, safety, effectiveness or performance of the Products,
you shall promptly report them to XXXX on copies of the form attached
as Exhibit E to this Agreement (or on such form as XXXX may provide
from time to time) and you shall provide all necessary assistance in
connection with any corrective action with respect to the Products.
Any determination of corrective action shall be made by XXXX in its
sole discretion.
8. COMPLIANCE WITH TERRITORIAL REGULATIONS
---------------------------------------
You shall comply with and advise XXXX of all applicable laws, rules
and regulations of the Territory governing the use, sale,
distribution, shipment and import of the Products. With respect to
those Products that have not yet received approval for commercial
sale, you shall also comply with the laws, rules and regulations of
the Territory concerning use, sale, distribution, shipment and import
of unapproved products, and with any applicable XXXX clinical trial
protocol. In connection with these obligations regarding products
that are approved or have not yet received approval, you shall obtain
and keep in effect all required licenses, permits and authorizations
(collectively, "Registration(s)"), provided however, that the CE
approval shall be obtained and kept in effect by XXXX.
Except for CE approval, you shall pay all applicable Registration
fees, duties, taxes and other expenses relating to the sale and use
of the Products within the Territory. XXXX shall provide you with all
necessary assistance in connection with your obtaining Registrations
which XXXX concurs in writing are necessary for the conduct of your
business. You will advise XXXX, upon RITA's request, of the status of
all Registrations, and you will notify and provide XXXX documentation
whenever any change of Registration status occurs and whenever any
Registration is called into question. All such Registrations shall be
in the name of XXXX or, if Registration in RITA's name is prohibited
by applicable law, in the name of a party designated in writing by
XXXX or in trust for XXXX. XXXX shall have the sole authority to
cancel or transfer (or direct the cancellation or transfer of) all
such
Registrations. If this Agreement is terminated for any reason, you
shall transfer all Registrations held by you in connection with your
distribution of the Products to XXXX or its designee.
To the extent that the law requires XXXX, rather than you, to file
any Registration, XXXX shall register the Products as required by
law. You shall provide all necessary assistance in connection with
the filing of such Registrations.
All activities with respect to tenders shall be conducted so as to
allow, upon termination of this Agreement for any reason, and upon
RITA's written request, transfer of such tenders to XXXX or to such
party as XXXX designates in writing.
XXXX may provide you with information concerning the manufacture of
the Products to increase your ability to obtain Registrations. You
agree that such information will be disclosed only to those of your
employees who are authorized by XXXX in writing to receive such
information.
9. COMPLIANCE WITH U.S. REGULATIONS
--------------------------------
XXXX shall be responsible for compliance with all applicable United
States laws and regulations governing the manufacture and sale of the
Products. You shall comply, and use your best efforts to assist XXXX
in complying, with all applicable United States laws and regulations
including the maintenance of all required books, records and reports.
In particular, you shall track the serial numbers and lot numbers of
Products delivered to your customers. This obligation shall survive
the termination of this Agreement for a period no less than the life
of any distributed Products.
Audits of such records and the distribution storage area may be
audited at any time by XXXX personnel to assure compliance.
10. RECALLS
-------
You shall cooperate with XXXX in effecting any recall of the Products
which, in RITA's opinion, is necessary. Recalls may only be
authorized in writing by XXXX. This obligation shall survive the
termination of this Agreement for a period no less than the life of
any distributed Products.
11. PROPRIETARY PROPERTY OF XXXX
-----------------------------
You expressly acknowledge that you do not have and shall not acquire
under this Agreement any rights in or to any of RITA's patents,
trademarks or trade names or to any patents, trademarks or trade
names of any subsidiary or other affiliate of XXXX. You further
acknowledge that you shall use not at any time use, register, or
obtain in your own or any other name, RITA's corporate name, or any
of its other trademarks or trade names without RITA's prior consent
in writing. You further acknowledge that you do not have and shall
not acquire under this Agreement rights to any of RITA's know-how
regarding the design or manufacture of the Products.
You, your principals and consultants agree at all times during the
term of this Agreement and thereafter, to hold in strictest
confidence, and not use, except for the benefit of XXXX, or disclose
to any person, firm, corporation or any other entity without written
authorization by XXXX, any Confidential Information of XXXX which you
obtain or create. You further agree not to make copies of such
Confidential Information except as authorized by XXXX. You understand
that "Confidential Information" means any XXXX proprietary
information, technical data, trade secrets or know-how, including,
but not limited to research, product plans, products, services,
suppliers, customer lists and customers (including, but not limited
to, customers of XXXX on whom you called or with whom you became
acquainted during the term of the Agreement), prices and costs,
markets, software, developments, inventions, laboratory notebooks,
processes, formulas, technology, designs, drawings, engineering,
hardware configuration information, marketing, licenses, finances,
budgets or other business information disclosed to you by XXXX
orally, in writing or by drawings.
Except with the prior written consent of XXXX, during the term of
this Agreement and for a period of one (1) year following termination
of the Agreement you, your principals and consultants shall not sell
or advertise within the Territory, either on your own behalf or on
behalf of any other person, company, or corporation, products which
compete, directly or indirectly, with the Products.
12. WARRANTY
--------
XXXX extends to you, only, in respect of each new and unused Product
supplied to you, a warranty on terms identical to that contained in
the warranty certificate enclosed and delivered with such Product
when sold directly by XXXX. RITA's liability is limited in all
respects by the terms and conditions of such warranty.
XXXX agrees that such warranty will have a term of twelve (12) months
from the date of its sale to you for Products with no expiration date
and a term extending until the expiration date for Products which
have such an expiration date, providing such Products are unopened
and undamaged.
ALL OTHER GUARANTEES, WARRANTIES, CONDITIONS AND REPRESENTATIONS,
EITHER EXPRESS OR IMPLIED, WHETHER ARISING UNDER ANY STATUTE, COMMON
LAW, CASE LAW, COMMERCIAL USAGE, CUSTOM OR OTHERWISE, INCLUDING
IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR
PURPOSE, ARE HEREBY EXCLUDED.
13. LIABILITY ACTIONS
-----------------
You shall give XXXX immediate written notice if you become aware of
any legal action deriving from the use of the Products by customers
and include in such notice all facts relating to the legal action of
which you are aware. XXXX shall indemnify you during the term of this
Agreement to the extent that it and you are covered by its commercial
general liability policy (including products liability) then in
effect for any such claims which are brought against you, except for
claims which arise from your negligence, action or failure to act.
XXXX shall have the right, but not the obligation, to defend any such
claim during or after the term of this Agreement and to settle it on
such terms as XXXX xxxxx appropriate. You shall cooperate fully with
XXXX in connection with such defense.
14. DURATION AND TERMINATION
------------------------
This Agreement shall be for a minimum of a one (1) year period
commencing on January 1, 2001 (the "First Year"). This Agreement
shall automatically renew for successive one (1) year periods unless
notice is given by either party in writing ninety (90) days prior to
the renewal date. This Agreement may be terminated as noted below:
(1) by XXXX, upon thirty (30) days written notice if you do not
purchase the minimum quantity of Products in any given
quarter, as per Section 3 above.
(2) by XXXX, immediately upon written notice if you, your
principals or consultants sell or advertise within the
Territory, either on your own behalf or on behalf of any
other person, company, or corporation, products which
compete, directly or indirectly, with the Products.
(3) by either party upon thirty (30) days written notice to the
other if the parties fail to reach agreement as to minimum
purchase quantities (according to Section 3 above) either
(a) prior to the commencement of any one (1) year renewal
period or (b) following written notification by XXXX of an
addition to the Products; or as to prices (according to
Section 5 above) following written notification by XXXX of
an addition to the Products.
(4) by either party for any reason or no reason, after the
First Year, upon ninety (90) days written notice to the
other.
(5) by either party immediately upon written notice to the
other if the other party fails to fulfill its material
obligations hereunder and such failure is not cured within
thirty (30) days after its receipt of written notice
requesting a remedy thereof. A choice by either party not
to terminate this Agreement due to the other party's
failure to perform a material obligation under this
Agreement shall not relieve either party of any of its
material obligations hereunder, and any future or
continuing failure to perform the material obligations of
this Agreement shall be grounds for termination of this
Agreement.
(6) by either party upon written notice if the other party
becomes insolvent or any voluntary or involuntary petition
in bankruptcy is filed by or against such party or a
trustee is appointed with respect to any of the assets of
such party or a liquidation proceeding is commenced by or
against such party and such proceeding has not been
terminated within ninety (90) days, or if such party
discontinues its business.
In the case of termination of this Agreement by either party for any
reason, XXXX shall have the right, but not the obligation, to
purchase from you undamaged, saleable inventory at the original
invoice price to you.
Only the following Sections of this Agreement shall survive its
termination: 4, 6, 8, 9, 10, 11, 12, 13, 14 and 16.
Other than the specific provisions in this Section, neither party
shall have any remedy upon termination due to such termination,
provided that this shall have no effect on the surviving Sections of
this Agreement, which remain in effect and enforceable allowing any
remedy specifically associated with them.
15. FORCE MAJEURE
-------------
Neither party shall be responsible to the other party for
non-performance or delay in performance under this Agreement due to
acts of God, civil commotion, war, riots, strikes, lockouts, severe
weather, fires, explosions, governmental actions or other similar
causes beyond the control of such party, provided that the party so
affected shall promptly give notice thereof to the other party and
shall continue to take all action reasonably within its power to
comply herewith as fully as possible. In any event, the time for
performance hereunder shall only be extended for the duration of the
delay.
16. GENERAL PROVISIONS
------------------
The validity, interpretation, construction and performance of this
Agreement shall be governed by the laws of the State of California,
without giving effect to the principles of conflict of laws. Any
dispute or claim arising out of or in connection with any provision
of this Agreement will be finally settled by binding arbitration in
Santa Xxxxx County,
California in accordance with the rules of the American Arbitration
Association by one arbitrator appointed in accordance with said
rules. The arbitrator shall apply California law, without reference
to rules of conflicts of law or rules of statutory arbitration, to
the resolution of any dispute. Judgment on the award rendered by the
arbitrator may be entered in any court having jurisdiction thereof.
Notwithstanding the foregoing, the parties may apply to any court of
competent jurisdiction for preliminary or interim equitable relief,
or to compel arbitration in accordance with this paragraph, without
breach of this arbitration provision.
Any notice required or permitted by this Agreement shall be in
writing and shall be deemed sufficient upon receipt, when delivered
personally or by courier, overnight delivery service or confirmed
facsimile, or forty-eight (48) hours after being deposited in the
regular mail as certified or registered mail (airmail if sent
internationally) with postage prepaid, if such notice is addressed to
the party to be notified at such party's address or facsimile number
as set forth below, or as subsequently modified by written notice.
XXXX Medical Systems, Inc.
000 X. Xxxxxxxxx Xxxxxxxxx
Xxxxxxxx Xxxx, XX 00000 XXX
Attn: Xxxxx Xxxxxxx
Fax: 000-000-0000
MDH s.r.l. Forniture Ospedaliere
Xxx Xxxxx Xxxxxx, 00
00000 Xxxxx, Xxxxx
Attn: Xxxxxxxxxx Xxxxxxxx
Fax: 00-00-00000000
The provisions of this Agreement shall be deemed to be severable, and
the invalidity of any provision of this Agreement shall not affect
the validity of the remaining provisions of this Agreement.
No amendment or modification of this Agreement shall be binding on
the parties unless made in writing expressly referring to this
Agreement and signed by authorized representatives of each party.
This Agreement is not assignable by either party in whole or in part
without the prior written consent of the other party, and any
attempted assignment without such approval shall be null and void,
except that consent shall not be required in the case of a
transaction involving the merger, consolidation or sale of
substantially all of the assets of XXXX.
By your signature below, you acknowledge and agree to all of the foregoing terms
and conditions. Until so executed by you and XXXX and returned to XXXX, this
Agreement shall not be binding on either party, and unless executed by you and
returned to XXXX within ten (10) days of the date set
forth on the first page hereof, this Agreement shall expire without further
notice and shall be null and void.
The parties executed this Agreement on the respective dates set forth below.
XXXX MEDICAL SYSTEMS, INC.
By: /s/ Xxxxxxxxx Xxxxxxxx
----------------------
Title: Chief Financial Officer and Vice President,
-------------------------------------------
Finance and Administration
--------------------------
Address: 000 X. Xxxxxxxxx Xxxx.
Xxxxxxxx Xxxx, XX 00000
Date: December 12, 2000
-----------------
MDH S.R.L. FORNITURE OSPEDALIERE
By: /s/ Xxxxxxxxxx Xxxxxxxx
-----------------------
Title:_________________________
Address: Xxx Xxxxx Xxxxxx, 00
00000 Xxxxx, Xxxxx
Date: January 1, 2001
---------------
Exhibit A
Territory
Italy
Exhibit B
Products
GENERATORS
Model Number Part Number
------------ -----------
Model 1500 700-101623
ELECTRODES
Model Number Part Number Description
------------ ----------- -----------
Model 30* 700-100890 4 array, 3cm, 15cm
Model 30* 700-100852 4 array, 3cm, 25cm
Model 70 700-101149 7 array, 3cm, 15cm
Model 70 700-101151 7 array, 3cm, 25cm
StarBurst 700-101492 7 array, 2-3 cm, 15 cm
StarBurst 700-101493 7 array, 2-3 cm, 25 cm
StarBurst XL 700-101320 9 array, 3-5 cm, 15 cm
StarBurst XL 700-101317 9 array, 3-5 cm, 25 cm
* Model 30 Electrodes may only be purchased from existing XXXX inventory on
or before January 31, 2001.
ACCESSORIES
Model Number Part Number
------------ -----------
Main Cable 700-101339
Foot Switch 400-100453
Dispersive Electrode 700-101441
Power Cord (Italy) 400-100698
Software 700-101689
At its sole discretion: (1) XXXX may discontinue any product on this
list and (2) XXXX may add additional products to this list, or (3) may
substitute equivalent products.
Exhibit C
Minimum Purchase Target
Product First Contract Year
------- -------------------
Calendar Quarter
2001
----------------------------------
Q1 Q2 Q3 Q4
Model 1500 Generator* [+++] [+++] [+++] [+++]
Model 70** [+++] [+++] [+++] [+++]
StarBurst*** [+++] [+++] [+++] [+++]
StarBurst XL*** [+++] [+++] [+++] [+++]
* Each Generator is supplied with one (1) Power Cord, one (1) Main Cable
and one (1) Foot Switch, as well as, upon request, one (1) XXXX-Base
Data Collection Software.
** Each Model 70 Electrode is supplied with one (1) Dispersive Electrode.
StarBurst Electrodes may be substituted for Model 70 Electrodes for
purposes of meeting minimum purchase requirements.
*** Each StarBurst and Starburst XL Electrode is supplied with two (2)
Dispersive Electrodes.
NOTE: In the case of any additions to the Products listed in Exhibit B, the
purchase of any new model generators or any new model electrodes shall be
credited against the minimum purchase targets detailed above.
+ Material has been omitted pursuant to a request for confidential treatment,
and such material has been filed separately with the SEC.
Exhibit D
Pricing Schedule
Distributor Price
Product First Year of Agreement
------- -----------------------
Model 1500 Generator* [+++]
Model 30 Electrodes** [+++]
Model 70 Electrodes*** [+++]
StarBurst Electrodes **** [+++]
StarBurst XL Electrodes**** [+++]
Main Cable [+++]
Foot Switch [+++]
Dispersive Electrode [+++]
Power Cord (Italy) [+++]
XXXX-Base Data Collection Software [+++]
No discounts for sub-agents
* Each Generator is supplied with one (1) Power Cord, one (1) Main Cable
and one (1) Foot Switch, as well as, upon request, one (1) XXXX-Base
Data Collection Software.
** Each Model 30 Electrode is supplied with one (1) Dispersive Electrode.
Model 30 Electrodes may only be purchased from existing XXXX inventory
on or before January 31, 2001.
*** Each Model 70 Electrode is supplied with one (1) Dispersive Electrode.
**** Each StarBurst and Starburst XL Electrode is supplied with two (2)
Dispersive Electrodes.
NOTE: All part numbers are per Exhibit B and terms are Ex-works RITA's
manufacturing location.
+ Material has been omitted pursuant to a request for confidential treatment,
and such material has been filed separately with the SEC.
Exhibit E
Complaint Form
DISTRIBUTOR COMPLAINT REPORT FORM
--------------------------------------------------------------------------------
To Be Completed By Distributor:
1. Date Received:______________________ Received By:____________________
2. Product Description:_________________________________________________
Lot Number:________________________ Model Number: __________________
3. Complainant*:________________________________________________________
*Complainant is the person to whom the response letter will be written.
Address:_____________________________________________________________
City, State, Zip Code:_______________________________________________
Telephone:______________________________ Fax: ______________________
4. Site Of Event:_______________________________________________________
Site Address:________________________________________________________
City, State, Zip Code:_______________________________________________
5. Device Returned: [_] Yes [_] No
Date Shipped _____________ RMA Number ____________
6. Treatment Date:____________________ Indication: _____________________
Treatment Site: _____________________________________________________
Patient Status: [_] Procedure Completed Without Incident
[_] Other _________________________________________
______________________________________________________________________
7. Description of Event: ________________________________________________
______________________________________________________________________
__________________________________________________ [_] See Attached
--------------------------------------------------------------------------------
Exhibit F
Monthly Sales Report Form
Monthly Sales Report Form
Distributor:__________________
Territory:____________________
Month:________________________
Current Month Information:
--------------------------
Unit Sales Product
-------------------------------------------------------------------------------
700-101505 RF Generator Model 1500
-------------------------------------------------------------------------------
700-100890 Xxxxx 00, 0 xxxxx, 0xx, 00xx
-------------------------------------------------------------------------------
700-100852 Xxxxx 00, 0 xxxxx, 0xx, 00xx
-------------------------------------------------------------------------------
700-101149 Xxxxx 00, 0 xxxxx, 0xx, 00xx
-------------------------------------------------------------------------------
700-101151 Xxxxx 00, 0 xxxxx, 0xx, 00xx
-------------------------------------------------------------------------------
700-101492 XxxxXxxxx, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
700-101493 XxxxXxxxx, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
700-101320 StarBurst XX, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
700-101417 StarBurst XX, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
--------------------------
Inventory
-------------------------------------------------------------------------------
Product Number Product
-------------------------------------------------------------------------------
700-101505 RF Generator Model 1500
-------------------------------------------------------------------------------
700-101149 Xxxxx 00, 0 xxxxx, 0xx, 00xx
-------------------------------------------------------------------------------
700-101151 Xxxxx 00, 0 xxxxx, 0xx, 00xx
-------------------------------------------------------------------------------
700-101492 XxxxXxxxx, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
700-101493 XxxxXxxxx, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
700-101320 StarBurst XX, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
700-101417 StarBurst XX, 0 Xxxxx, 0-0 xx, 00 cm
-------------------------------------------------------------------------------
Core Account Update: (Only List Accounts That: a) own generators or b) have a
long-term arrangement that is equivalent to owning. Do not include
hospitals/accounts that have generators for evaluation.) Please add more lines
as necessary so that all "Core" accounts are listed.
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Existing Customer # Electrodes Sold:
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