Distributor Application Form (New)

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AUTHORIZED REPRESENTATIVE

The title that you have in the company
Your business phone number
Your business email address
Use the details of an authorized officer/institution

COMPANY INFORMATION

Full legal company name
Full company address
Operationally active for at least 2 yrs.
Including the "http://"

PLATFORMS

In years (min. 1yr)

TRADING HISTORY & LOGISTICS

Ex: Product name, Product name, Brand name etc..

PROJECTIONS & PAYMENT

The payment options differently affect the price/unit (choose one)

REFERENCE

Reference's business address
Reference's country
Reference's email address
Reference's phone number

ORDER DETAILS

days

Estimated Production time (if the stock isn't available)

Please, keep in mind that these numbers are average and approximative!

These files may hurry the process.

*Please carefully fill in all the fields.
*If you need assistance, do not hesitate to
contact us.
*IMPORTANT! The cost per unit is influenced by several factors. Quantity is not the only factor.
*If all the completed data is appropriate, in about 48-72 hours the application may be validated. Once the application is validated, our team will send you the draft contract filled with the given information.

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