投保人名称及地址.doc

()零售商()批发商()进口商()出口商()ManufacturerRetailerWholesalerImporterExporter保险产品的情况DescriptionofInsuredProducts名称种类性质直接及间接用途销售额销售范围DescriptionTypeNatureDirect&IndirectUseSalesVolumeSalesArea合计Total投保人工厂,商店或仓库的所在地LocationofInsured’sfactory,shoporwarehouse有无其他分支机构Isthereanyothersubsidiary有()无()YesNo如果有,请列明地址和销售额Ifso,pleasestatetheaddressandsalesvolume投保产品的平均使用寿命Theaveragelifeexpectancyoftheproductsinsured投保产品的销售历史Salesrecorda)美国/./CanadaProducts请告知过去五年及预估未来年度,贵公司外销美加地区的各项产品销售额Listallproductsmanufactured,./ingyear(attachproductbrochuresorotherprintedmaterialdescribingproducts).产品Description销售额SalesVolume2007(est.)20062005200420032002b)其余地区的产品RestoftheWorldSalesofProducts请告知过去五年及预估未来年度,外销其余地区(不包括美国/加拿大)的各项产品销售额Listallproductsmanufactured,soldordistributedbyApplicantinorexportedtoRestoftheWorld(./Canada/)ingyear(attachproductbrochuresorotherprintedmaterialdescribingproducts).产品Description销售地区SalesArea销售额SalesVoume2007(est.)20062005200420032002投保产品是否有包装Dotheproductsinsuredhavepackage有()无()YesNo如果有,请列明为何种包装Ifso,pleasegiveexactdescriptionofthepackage以往产品与现投保产品能否明显加以区分Isitpossibletodistinguishtheproductsinsuredf