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Distribution application form

Company Name^*

Name^*

Surname^*

Address^*

City^*

Postal Code^*

Country^*

Telephone^*

Email address^*

Website^*

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^*