Requirements to Become a Distributor
  
      Purchases minimum quantities as stated in the catalog.  
    Must sell ordered items to a 3rd party.  
    Products are not for your own use to promote your own company name
(a limited number of items can be ordered for your own self-promotion) 		 
    If you are not yet a distributor, but meet these requirements, we invite you to complete our Distributor Application Form.  
    Please make sure you take advantage of our many Distributor Benefits!  

Distributor Application Form

Step 1:     
  If you are interested in becoming a distributor/reseller of our product, we invite you to complete the following application form, after reviewing the definition of a distributor listed above.
  Click here to review our Privacy Statement.
Step 2:
  We will review your application and inform you if you are approved.
Step 3:
 

AFTER approval, you will be able to take advantage of our many Distributor Benefits, such as our free website, catalogs, special pricing etc.

Company Name      * Required
Address:      * Required
City:      * Required
State or Province:      * Required
Country:      * Required
Zip or Postal Code:      * Required
Contact Name:      * Required
Phone #:      * Required
Fax #:    
Email Address:       * Required
Website:    
Primary Business Activity:    
Industry Associations:
 (Examples:  ARA, ASI, PPAC, PPAI)		    
IRS# or Business License #:
  (For US Applicants)		    
PST or GST#:
  (For Canadian Applicants)		    
Government Taxation #:
 (For Other Applicants)		    
Products you are interested
in and Other Comments		    
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