Potential New USA Distributor Questionnaire

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Contact Info

* Required Fields
MM slash DD slash YYYY
Distributor Address*

About your company

Sales & Advertising

Does your company have sales reps?


Does your company mail a flyer or catalog?

What percentages of your company's sales are in the following markets?

Dunn & Bradstreet account number

Does your company have a Dunn & Bradstreet account number?
Dunn & Bradstreet account number


Do you currently do service work/repairs on any of our products?
If not would you be willing to do repairs on our products?