REQUEST FOR DISTRIBUTORSHIP

Your Company Name: 

Primary Contact: 

Mailing Address: 

City:    State:    Zip: 

UPS Address: 

City:    State:    Zip: 

Daytime Telephone Number (Include Area Code) 

Evening Telephone Number (Include Area Code) 

Best Time To Call:

Fax Number: 

Email Address: 

How long have you been in Business?

Do you currently work with elementary Schools? NO YES

If yes, what products or Programs do you provide Elementary Schools with? 

How many Elementary Schools do you work with? 

What counties do you currently serve? 
 

Do you currently sell a Christmas Shop Program?  NO YES

If yes, how many did you run last Year? 

If yes, who is your current source? 

What program are you most interested in?
SALES REPRESENTATIVE DISTRIBUTORSHIP
NO RISK DISTRIBUTORSHIP
STOCKING DISTRIBUTORSHIP

Comments 

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