;

Distribution application form

Entreprise Prénom^*

Prénom^*

Nom^*

Adresse^*

Ville^*

Code postal^*

Pays^*

Téléphone^*

Email address^*

Site Web^*

Company Facebook

Company Instagram

Company Linkedin

You are?^*

Distributor

Agent

What are your company sales trends versus the previous year? ^*

What’s the geographic area do you cover?^*

What is your company’s mission statement?^*

How long have you been in business?^*

How many employees do you have?^*

What other product lines do they represent?^*

What other brands are you representing?^*

What would be your plan if you received our business?^*

How do you see the evolution of the market?^*

Number of stores that you manage^*

Number of store that match with our brand^*