International Distributor/Dealer Application
Corporation Type
Business Name:
Contact Name:
Address:
City:
State, Zip:
,
Country:
Province:
Office Phone:
Fax:
Email:
Website:
Dealer Information:
Interested in becoming an International:
Distributor
Dealer
How many locations?
Service Sq Ft:
Showroom Sq Ft:
What are you currently Selling?:
Logistics:
Do you currently have a customs broker? Yes or No:
Do you have a freight forwarder? Yes or No:
Does your country ban imports from any specific countries?:
What is the nearest port to you?:
Have you imported product previously?:
Comments:
Signature:
Date: