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Company Name and DBA if applicable *
Headquarter Location (complete address): *
Name *
First
Last
Position
Email *
Company’s phone number: *
Website
Location *
Accounting Manager contact information (name, email address and phone number)
Sales Manager contact information (name, email address and phone number)
Number of sales representatives:
Purchasing Manager contact information (name, email address and phone number)
Areas of distribution you currently cover *
Type of items you currently distribute *
Are you interested in the full line of products or just a few items? *
The full line of products
Just a few items
What is the nature of your business (Wholesaler, Retailer, End User)? *
If you wish to import our products, do you have a freight forwarder in your country
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