Become a Distributor

    Name of Company (required)
    Name of Representative (required)
    Your Email (required)
    Company Website (required)
    List all companies in the personal care industry that you currently distribute.
    Do you currently sell any personal care lines? If so, what are the names? Do you have an exclusive agreement or semi-exclusive agreement (based on territory) with this/these companies?
    Would you be open to an exclusive opportunity for a personal care line if it was made possible?
    What region/countries do you service?
    What other countries, if applicable, are you able to sell to?
    Do you work with any distributor partners?
    Do you have a service department that can assist with maintaining/servicing instruments in-house or on-site?
    What is your current total annual sales?
    What volume of sales do you anticipate you can handle?
    What are your main methods for client acquisition?
    Trade ShowsWebsite SalesDirect to Consumer SalesDr. Office Visits
    How many trade shows do you attend per year?