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Personal Info*

First NameLast Name
E-mail*
Contact Number*

Area CodePhone Number
Company Name*
Job title*
Website
Address*

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Tell us about your company
Do You Stock Product? **
Primary sales territory*
What products brands do you currently sell?*
Approximately how many active end users do you currently sell to? *
Approximately how many resellers do you sell to? *
Which industries do you distribute to? *
Other industry*
Annual revenue ($ USD)
How many employees do you have?*
How many sales personnel? *
How do you market?*
Have you ever sold competitive products? *
• If yes, which company(s)?*
How long have you been in business? (Yrs.) *
Are you interested in distributing electronic pest control products ?*
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