Expression Of Interest Form

Company Name

Business Type Business TypeManufacturerDistributorWholesalerOther (Please Specify)

Country Of Registration

Years in Operation

Website

Social Media

Primary Contact

Position / Title

Email

Phone Number

Brief Description of Your Product(s) or Service(s):

What Categories Do Your Offerings Fall Under? (Select all that apply) What Categories Do Your Offerings Fall Under? (Select all that apply) Mobility Devices (e.g., wheelchairs, scooters) Vehicle Accessibility (e.g., hoists, lifts) Airport/Hotel Equipment Sensory/Communication Aids Outdoor Access (e.g., beach chairs) Travel Safety Accessories Other

Do your products meet any of the following standards? Do your products meet any of the following standards? ISO (e.g., ISO 9001, ISO 13485) CE Mark (European Conformity) ADA Compliance (Americans with Disabilities Act) FDA Approval (USA – Food & Drug Administration) TGA Approval (Australia – Therapeutic Goods Administration) ESMA Certification (UAE – Emirates Authority for Standardisation & Metrology) Other national or regional certifications

Are you currently supplying to the Middle East? Are you currently supplying to the Middle East? Yes No

Do you have capacity to fulfil bulk or ongoing orders? Do you have capacity to fulfil bulk or ongoing orders? Yes No Depends on lead times

Please list any distributor or logistics partnerships in place (if applicable):

Why are you interested in partnering with Vollrr?

Is there anything else you'd like us to know?

Confirmation Confirmation I confirm that the information provided is accurate to the best of my knowledge.