H. MIYAO CORP.
85 4th Ave., Suite 5K
New York, NY 10003
USA
Tel:212-533-7134
Fax:212-388-1247
contact@hmiyao.com

Product Submission Form

If you have a new and innovative product you would like us to consider, please fill out the form below and a representative will contact you promptly.

Contact Information

Company Name
Contact Name
Title
Address
City, State Zip
Country

E-mail
Website

Telephone
Fax

Company Information

Manufacturer
Licensee
Distributor
Manufacturer's Rep
Inventor/Patent Holder

Is your product patented or patent pending? Yes No
Is your product currently in manufacturing? Yes No

Country of Origin
FOB Point

Marketing Information

How is the product currently being marketed? (check all that apply)

Catalogue	Mfg. Reps	HSN
Direct Mail	Department Stores	Television
Print Ads	Specialty Stores	Discount Chain
Internet	QVC	Other

Product Information

Product Name
Product Description


Manufacturer's Suggested Retail Price $

Quantity Discounts Available	Yes No

Weight per unit
Dimensions (L x W x H)
Shipping size
Quantity per case
Quantity available (on hand)

Available in (check all that apply)

Bulk

Retail Pkg

RE-Shipper

Manufacturing capabilities (weekly or monthly)

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